340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MADRONA PHARMACY
RRC500005-00 VIRGINIA MASON MEDICAL CENTER
Print
Covered Entity Details
Entity Name
VIRGINIA MASON MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC500005-00
Entity Address
925 SENECA STREET
SEATTLE, WA 98101
Medicare Provider Number
500005
Participating Start Date
10/1/2023
Last Recertification Date
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
MADRONA PHARMACY
Pharmacy Address
5959 CORSON AVE S STE C1
SEATTLE, WA 98108
Pharmacy Comments
Contract Details
Approval Date
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
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
10/10/2023
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