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MULTICARE DEACONESS RETAIL PHARMACY
DSH500154 MULTICARE COVINGTON MEDICAL CENTER
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Covered Entity Details
Entity Name
MULTICARE COVINGTON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500154
Entity Address
17700 SE 272ND STREET
COVINGTON, WA 98042
Medicare Provider Number
500154
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
MULTICARE DEACONESS RETAIL PHARMACY
Pharmacy Address
910 W 5TH AVE, STE 270
SPOKANE, WA 99204
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
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
4/15/2025
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