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THRIFTY PAYLESS, INC.
CHC08773-00 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW 220 Unity
Type
HRSA-Funded Health Center
340B ID
CHC08773-00
Entity Address
220 Unity St
Bellingham, WA 98225-4429
Grant Number
H80CS08773
Participating Start Date
1/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THRIFTY PAYLESS, INC.
Pharmacy Address
RITE AID #6452
5655 3RD AVE
PO BOX 2568
FERNDALE, WA 98248-2568
Pharmacy Comments
Contract Details
Approval Date
11/20/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Des Skubi, Executive Director
(360) 788-2620
Contract Pharmacy Representative
Rite Aid
Ruth Lightner, Director
(717) 731-6524
Signed By Date
10/1/2012
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