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WALGREEN CO.
CH101340 YAKIMA NEIGHBORHOOD HEALTH SERVICES
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Covered Entity Details
Entity Name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH101340
Entity Address
12 SOUTH 8TH STREET
YAKIMA, WA 98901
Grant Number
H80CS06078
Participating Start Date
4/1/1999
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #12275
610 W. YAKIMA AVE.
YAKIMA, WA 98902
Pharmacy Comments
Contract Details
Approval Date
1/10/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ANITA MONOIAN, CEO
(509) 574-5550
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/10/2015
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