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WALGREEN CO.
CHC08773-09 UNITY CARE NORTHWEST
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Covered Entity Details
Entity Name
UNITY CARE NORTHWEST
Subdivision Name
UCNW Bellingham Family Partnership Program
Type
HRSA-Funded Health Center
340B ID
CHC08773-09
Entity Address
1409 18th St
Bellingham, WA 98225-7201
Grant Number
H80CS08773
Participating Start Date
4/1/2024
Last Recertification Date
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05911
4090 GUIDE MERIDIAN RD
BELLINGHAM, WA 98226
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
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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