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FRIDAY HARBOR DRUG, LLC
CAH501340-00 PEACEHEALTH D/B/A PEACE ISLAND MEDICAL CENTER
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Covered Entity Details
Entity Name
PEACEHEALTH D/B/A PEACE ISLAND MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501340-00
Entity Address
1117 SPRING STREET
FRIDAY HARBOR, WA 98250
Medicare Provider Number
501340
Participating Start Date
7/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
FRIDAY HARBOR DRUG, LLC
Pharmacy Address
210 SPRING ST
PO BOX 516
FRIDAY HARBOR, WA 98250
Pharmacy Comments
Contract Details
Approval Date
10/6/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Krista N Touros, CFO
(360) 788-6754 Ext: 6754
Contract Pharmacy Representative
Friday Harbor Drug
Clark Bishop, Pharmacist/Co-Owner
(360) 363-2137
Signed By Date
10/6/2022
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