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HAGGEN, INC.
CH10102BA Sea Mar Community Health Centers
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Covered Entity Details
Entity Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Skagit Valley Women's Health Center
Type
HRSA-Funded Health Center
340B ID
CH10102BA
Entity Address
125 N. 18th St. Suite A
Mount Vernon, WA 98273
Grant Number
H80CS00445
Participating Start Date
10/1/2009
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HAGGEN, INC.
Pharmacy Address
HAGGEN FOOD & PHARMACY #69
2601 EAST DIVISION ST
MOUNT VERNON, WA 98274
Pharmacy Comments
Contract Details
Approval Date
3/8/2010
Contract Begin Date
3/8/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2019
Ownership change
Contacts
Covered Entity Signing Official
Mary Bartolo, VP, Deputy Director
(206) 763-5277
Contract Pharmacy Representative
ANDREW CHARTER, VP
(360) 650-8316
Signed By Date
2/23/2010
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