340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COVINGTON MULTICARE CLINIC PHARMACY
DSH500129 TACOMA GENERAL/ALLENMORE HOSPITAL
Print
Covered Entity Details
Entity Name
TACOMA GENERAL/ALLENMORE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500129
Entity Address
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Medicare Provider Number
500129
Participating Start Date
12/1/2005
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
COVINGTON MULTICARE CLINIC PHARMACY
Pharmacy Address
17700 SE 272ND ST STE 100
COVINGTON, WA 98042-4951
Pharmacy Comments
Contract Details
Approval Date
4/5/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy Wayne Lynch, Sr. VP, Chief Administrative Officer
(253) 403-2824
Contract Pharmacy Representative
MultiCare Health System
Teresa Harberg, AVP Ambulatory Pharmacy Services
(253) 403-2283
Signed By Date
4/5/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session