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SOAS LLC
FQHC638347A Swinomish Indian Tribal Community
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Covered Entity Details
Entity Name
Swinomish Indian Tribal Community
Subdivision Name
didgwalic Wellness Center
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638347A
Entity Address
8212 South March Point Road
Anacortes, WA 98221
Grant Number
Participating Start Date
4/7/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SOAS LLC
Pharmacy Address
DBA: LACONNER DRUG #1146
708 E. MORRIS ST
PO BOX 477
LA CONNER, WA 98257
Pharmacy Comments
Contract Details
Approval Date
5/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/6/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Jennifer LaPointe, General Manager
(360) 466-3167
Contract Pharmacy Representative
LACONNER DRUG
Aaron Syring, Member
(360) 672-2739
Signed By Date
5/17/2023
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