340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MADRONA PHARMACY
RRC500039-00 ST. MICHAEL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ST. MICHAEL MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC500039-00
Entity Address
1800 NW MYHRE ROAD
SILVERDALE, WA 98383
Medicare Provider Number
500039
Participating Start Date
1/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MADRONA PHARMACY
Pharmacy Address
5959 CORSON AVE S STE C1
SEATTLE, WA 98108
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Nosacka, SVP and CFO
(253) 680-4005
Contract Pharmacy Representative
Virginia Mason Franciscan Health
Hung Troung, Executive Director - Madrona Pharmacy
(206) 341-3300
Signed By Date
4/14/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session