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WAL-MART PHARMACY 10-4137
CH10102BH Sea Mar Community Health Centers
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Covered Entity Details
Entity Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Seattle 8915 14th Ave. S.
Type
HRSA-Funded Health Center
340B ID
CH10102BH
Entity Address
8915 14th Ave S
Seattle, WA 98108
Grant Number
H80CS00445
Participating Start Date
7/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-4137
Pharmacy Address
1965 S. UNION AVE
TACOMA, WA 98405
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Bartolo, Executive Vice President
(206) 763-5277
Contract Pharmacy Representative
Walmart
Van Donn, Director of Contracting 340b
(303) 261-5549
Signed By Date
4/15/2024
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