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Walmart Pharmacy 10-7611
CHC08773-04 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW 1616 Cornwall Avenue
Type
HRSA-Funded Health Center
340B ID
CHC08773-04
Entity Address
1616 Cornwall Ave
Bellingham, WA 98225
Grant Number
H80CS08773
Participating Start Date
7/1/2012
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jodi Joyce, Chief Executive Officer
(360) 676-6177 Ext: 1232
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
10/16/2023
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