340B Drug Pricing Program Database
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WALGREEN CO.
CHC28357-01 North Olympic Healthcare Network PC
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Covered Entity Details
Entity Name
North Olympic Healthcare Network PC
Subdivision Name
North Olympic Healthcare Network First Street
Type
HRSA-Funded Health Center
340B ID
CHC28357-01
Entity Address
933 E. 1st Street
Port Angeles, WA 98362-4012
Grant Number
H80CS28357
Participating Start Date
10/1/2018
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11215
932 E. FRONT ST.
PORT ANGELES, WA 98362
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beau Jacob Brown, Chief Financial Officer
(360) 452-7891 Ext: 2828
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/16/2024
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