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PUBLIC HEALTH
STD98056 PUBLIC HEALTH SEATTLE & KING COUNTY
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Covered Entity Details
Entity Name
PUBLIC HEALTH SEATTLE & KING COUNTY
Subdivision Name
Kent Public Health Center
Type
Sexually Transmitted Diseases
340B ID
STD98056
Entity Address
25742 104th Ave SE
Kent, WA 98030
Grant Number
1 NH25PS005146-01-00
Participating Start Date
7/1/2013
Last Recertification Date
5/22/2019
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
PUBLIC HEALTH
Pharmacy Address
DOWNTOWN CENTRAL PHARMACY
2124 4TH AVE
SEATTLE, WA 98121
Pharmacy Comments
Contract Details
Approval Date
7/2/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MARK AUBIN, DIRECTOR - STD SERVICES
(360) 236-3467
Contract Pharmacy Representative
Benjamin Leifer, Chief Administrative Officer
(206) 263-8696
Signed By Date
7/2/2013
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