Contract Pharmacy Details

HOAGLAND PHARMACY
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

HOAGLAND PHARMACY

Pharmacy Address

2330 YEW ST
BELLINGHAM, WA 98229

Pharmacy Comments

Contract Details

Approval Date

7/17/2017

Contract Begin Date

7/27/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/24/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Desmond Skubi, Executive Director
(360) 788-2620

Contract Pharmacy Representative

Carrie Stephens, Pharmacist
(360) 734-5413

Signed By Date

7/17/2017

340B Drug Pricing Program Database