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WAL-MART PHARMACY 10-5997
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
WAL-MART PHARMACY 10-5997
Pharmacy Address
9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837
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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