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TRI-AREA RX LLC
CAH501323-00 JEFFERSON HEALTHCARE
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Covered Entity Details
Entity Name
JEFFERSON HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501323-00
Entity Address
834 Sheridan St
Port Townsend, WA 98368
Medicare Provider Number
501323
Participating Start Date
1/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
TRI-AREA RX LLC
Pharmacy Address
TRI-AREA PHARMACY
93 OAK BAY RD
PORT HADLOCK, WA 98339
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hilary Whittington, CFO
(360) 385-2200 Ext: 2094
Contract Pharmacy Representative
Cielo Tan, Owner
(360) 379-9800
Signed By Date
7/13/2015
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