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FRED MEYER STORES
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
FRED MEYER STORES
Pharmacy Address
800 LAKEWAY DRIVE
BELLINGHAM, WA 98229
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
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
6/10/2013
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