340B Drug Pricing Program Database

Pharmacy Name

QFC PHARMACY #106

Pharmacy Address

515 SHERIDAN ST
PORT TOWNSEND, WA 98368

Pharmacy Comments

Approval Date

10/12/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jacob Bujacich Davidson, Chief Operating Officer
(360) 385-2200 Ext: 2039

Contract Pharmacy Representative

Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109

Signed By Date

10/12/2023