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PUBLIC HEALTH
STD98118 PUBLIC HEALTH SEATTLE & KING COUNTY
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Covered Entity Details
Entity Name
PUBLIC HEALTH SEATTLE & KING COUNTY
Subdivision Name
COLUMBIA PUBLIC HEALTH CENTER
Type
Sexually Transmitted Diseases
340B ID
STD98118
Entity Address
4400 37th Ave S
Seattle, WA 98118
Grant Number
STD-WA
Participating Start Date
7/1/2013
Last Recertification Date
2/18/2016
Entity Termination Date
4/1/2016
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
4/1/2016
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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