340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARBOR DRUG INC
DSH500139 CAPITAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CAPITAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500139
Entity Address
3900 CAPITAL MALL DRIVE SW
OLYMPIA, WA 98502
Medicare Provider Number
500139
Participating Start Date
7/1/2022
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
HARBOR DRUG INC
Pharmacy Address
316 8TH ST
HOQUIAM, WA 98550
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
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Contract Pharmacy Representative
West Main Pharmacy
Jeff Harell, Managing Member
(541) 772-2330
Signed By Date
1/16/2024
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