340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRED MEYER STORES
CAH501333-00 KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Print
Covered Entity Details
Entity Name
KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501333-00
Entity Address
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Medicare Provider Number
501333
Participating Start Date
8/25/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
FRED MEYER STORES
Pharmacy Address
201 SOUTH WATER
ELLENSBURG, WA 98926
Pharmacy Comments
Contract Details
Approval Date
3/7/2012
Contract Begin Date
3/7/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAUL NURICK, CEO
(509) 962-7301
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
2/8/2012
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session