340B Drug Pricing Program Database
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Walmart Pharmacy 10-7611
CHC08773-01 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW Portable Clinical Care
Type
HRSA-Funded Health Center
340B ID
CHC08773-01
Entity Address
220 Unity St
Bellingham, WA 98225-4429
Grant Number
H80CS08773
Participating Start Date
1/1/2010
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
Walmart Pharmacy 10-7611
Pharmacy Address
2501 Perry Rd
Plainfield, IN 46168
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jodi Joyce, Chief Executive Officer
(360) 676-6177 Ext: 1232
Contract Pharmacy Representative
Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498
Signed By Date
7/15/2024
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