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FRED MEYER STORES
CH10212A SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
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Covered Entity Details
Entity Name
SUNSHINE COMMUNITY HEALTH CENTER INCORPORATED
Subdivision Name
Willow Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH10212A
Entity Address
24091 W. Long Lake Rd
Willow, AK 99688
Grant Number
H80CS00568
Participating Start Date
9/5/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
FRED MEYER STORES
Pharmacy Address
DBA: FRED MEYER
1501 EAST PARKS HIGHWAY
WASILLA, AK 99654
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gina McCullough, CFO
(907) 733-2273 Ext: 6441
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/9/2024
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