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WALGREEN CO.
CHC08773-08 UNITY CARE NORTHWEST
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Covered Entity Details
Entity Name
UNITY CARE NORTHWEST
Subdivision Name
UCNW Carl Cozier Elementary School
Type
HRSA-Funded Health Center
340B ID
CHC08773-08
Entity Address
1330 Lincoln St
Bellingham, WA 98229-6238
Grant Number
H80CS08773
Participating Start Date
4/1/2024
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07390
1070 E SUNSET DRIVE
BELLINGHAM, WA 98226-3509
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
Walgreens
Ted Kountouris, Regional Manager
(626) 806-1853
Signed By Date
7/15/2024
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