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FRED MEYER STORES
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
FRED MEYER STORES
Pharmacy Address
800 LAKEWAY DRIVE
BELLINGHAM, WA 98229
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/2/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Desmond Skubi, Executive Director
(360) 788-2620
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/17/2017
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