340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WRAY'S INC
DSH500036 YAKIMA VALLEY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
YAKIMA VALLEY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500036
Entity Address
2811 TIETON DR.
YAKIMA, WA 98902
Medicare Provider Number
500036
Participating Start Date
12/1/1992
Last Recertification Date
8/17/2024
Pharmacy Details
Pharmacy Name
WRAY'S INC
Pharmacy Address
5605 W SUMMITVIEW AVE
YAKIMA, WA 98908-3037
Pharmacy Comments
01/14/2013 name update, DEA (was Wray's Chalet Food N Drug)
Contract Details
Approval Date
8/1/2012
Contract Begin Date
8/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/23/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SCOTT OLANDER, CHIEF FINANCIAL OFFICER
(509) 249-5201
Contract Pharmacy Representative
Larry Haas, Pharmacy Manager
(509) 966-0530
Signed By Date
7/11/2012
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