Contract Pharmacy Details

WAL-MART PHARMACY 10-2450
CHC08773-09 UNITY CARE NORTHWEST

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

WAL-MART PHARMACY 10-2450

Pharmacy Address

4420 MERIDIAN STREET
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

Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498

Signed By Date

7/15/2024

340B Drug Pricing Program Database