Contract Pharmacy Details

WALGREEN CO.
CHC08773-04 Unity Care Northwest

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

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #16095
125 SAMISH WAY
BELLINGHAM, WA 98225

Pharmacy Comments

Contract Details

Approval Date

7/11/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Desmond Skubi, Executive Director
(360) 788-2620

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

7/11/2016

340B Drug Pricing Program Database