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WAL-MART PHARMACY WHSE #45
CHC08773-10 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW Roosevelt Elementary School
Type
HRSA-Funded Health Center
340B ID
CHC08773-10
Entity Address
2900 Yew Street, Room 24
Bellingham, WA 98226-6127
Grant Number
H80CS08773
Participating Start Date
4/1/2024
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY WHSE #45
Pharmacy Address
2250 NORTH 8TH STREET
SUITE 102-A
ROGERS, AR 72756
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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