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WALGREENS MAIL SERVICE, INC.
CHC08773-04 Unity Care Northwest
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Covered Entity Details
Entity Name
Unity Care Northwest
Subdivision Name
UCNW 1616 Cornwall Avenue
Type
HRSA-Funded Health Center
340B ID
CHC08773-04
Entity Address
1616 Cornwall Ave
Bellingham, WA 98225
Grant Number
H80CS08773
Participating Start Date
7/1/2012
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
WALGREENS MAIL SERVICE, INC.
Pharmacy Address
8350 S RIVER PARKWAY
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
10/9/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/27/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Des Skubi, Executive Director
(360) 788-2620
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/9/2013
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