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PHARMACY4HUMANITY
CH102520 Seattle Roots Community Health
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Covered Entity Details
Entity Name
Seattle Roots Community Health
Subdivision Name
Seattle Roots at Country Doctor
Type
HRSA-Funded Health Center
340B ID
CH102520
Entity Address
500 19th Ave E
Seattle, WA 98112-4007
Grant Number
H80CS00647
Participating Start Date
1/1/1998
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
PHARMACY4HUMANITY
Pharmacy Address
AHF PHARMACY
901 BOREN AVE., STE. 800
SEATTLE, WA 98104
Pharmacy Comments
Contract Details
Approval Date
5/23/2024
Contract Begin Date
5/23/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bessie Chi, Director of Pharmacy
(206) 709-7116
Contract Pharmacy Representative
AHF
PAUL SCHLICHT, PHARMACY FINANCE MANAGER
(818) 860-5269
Signed By Date
5/23/2024
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