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SWEDISH EDMONDS
DSH500027 SWEDISH MEDICAL CENTER
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Covered Entity Details
Entity Name
SWEDISH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500027
Entity Address
747 BROADWAY
SEATTLE, WA 98122
Medicare Provider Number
500027
Participating Start Date
7/1/2006
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
SWEDISH EDMONDS
Pharmacy Address
PAVILION PHARMACY
7320 216TH STREET SW
SUITE 100
EDMONDS, WA 98026-8006
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/17/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Jeffrey Veilleux, CFO
(206) 628-2502
Contract Pharmacy Representative
David Green, DOP
(425) 673-3701
Signed By Date
1/15/2013
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