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MADRONA PHARMACY
DSH500108 ST. JOSEPH MEDICAL CENTER
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Covered Entity Details
Entity Name
ST. JOSEPH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500108
Entity Address
1717 SOUTH J STREET
TACOMA, WA 98405
Medicare Provider Number
500108
Participating Start Date
4/1/2005
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MADRONA PHARMACY
Pharmacy Address
5959 CORSON AVE S STE C1
SEATTLE, WA 98108
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Nosacka, SVP and CFO
(253) 680-4005
Contract Pharmacy Representative
Virginia Mason Franciscan Health
Hung Troung, Executive Director - Madrona Pharmacy
(206) 341-3300
Signed By Date
4/11/2024
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