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KETTLE FALLS PHARMACY
FQHC638341 CAMAS CENTER FOR COMMUNITY WELLNESS MEDICAL SERVICES DEPARTMENT
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Covered Entity Details
Entity Name
CAMAS CENTER FOR COMMUNITY WELLNESS MEDICAL SERVICES DEPARTMENT
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638341
Entity Address
1821 LECLERC RD. #1
CUSICK, WA 99119
Grant Number
Participating Start Date
7/1/2018
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
KETTLE FALLS PHARMACY
Pharmacy Address
280 W 3RD AVE
P.O. BOX 435
KETTLE FALLS, WA 99141
Pharmacy Comments
10/27/2010 - CHANGED STREET NUMBER FROM 230.
Contract Details
Approval Date
6/2/2008
Contract Begin Date
6/2/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/8/2008
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