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FRED MEYER STORES
CHC08774-00 COMMUNITY HEALTH OF CENTRAL WASHINGTON
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Covered Entity Details
Entity Name
COMMUNITY HEALTH OF CENTRAL WASHINGTON
Subdivision Name
Central Washington Family Medicine
Type
HRSA-Funded Health Center
340B ID
CHC08774-00
Entity Address
1806 W Lincoln Ave
Yakima, WA 98902-2473
Grant Number
H80CS08774
Participating Start Date
9/9/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FRED MEYER STORES
Pharmacy Address
201 SOUTH WATER
ELLENSBURG, WA 98926
Pharmacy Comments
Contract Details
Approval Date
11/26/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Kaschmitter, CFO
(509) 574-6110
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
10/10/2012
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