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WALGREEN CO.
SCH500030-00 PEACEHEALTH D/B/A ST. JOSEPH MEDICAL CENTER
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Covered Entity Details
Entity Name
PEACEHEALTH D/B/A ST. JOSEPH MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH500030-00
Entity Address
2901 SQUALICUM PKWY
BELLINGHAM, WA 98225
Medicare Provider Number
500030
Participating Start Date
7/1/2013
Last Recertification Date
8/20/2018
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07390
1070 E SUNSET DRIVE
BELLINGHAM, WA 98226-3509
Pharmacy Comments
Contract Details
Approval Date
6/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DALE ZENDER, CEO
(360) 788-6313
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
6/10/2013
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