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MULTICARE MEDICAL CENTER
PED503301-00 Mary Bridge Children's Hospital and Health Center
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Covered Entity Details
Entity Name
Mary Bridge Children's Hospital and Health Center
Subdivision Name
Type
Children's Hospital
340B ID
PED503301-00
Entity Address
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Medicare Provider Number
503301
Participating Start Date
10/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MULTICARE MEDICAL CENTER
Pharmacy Address
MS: 315-C2-RX
315 MARTIN LUTHER KING JR WAY
DEPT OF PHARMACY SERVICES
TACOMA, WA 98405
Pharmacy Comments
Contract Details
Approval Date
7/6/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/18/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Florence Chang, President
(253) 403-7355
Contract Pharmacy Representative
MultiCare Health System
Vafa Aflatooni, Director Pharmacy Supply Chain and 340B
(253) 403-2082
Signed By Date
7/6/2016
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