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SEATTLEMEDS PHARMACY
RWI98122 Lifelong AIDS Alliance
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Covered Entity Details
Entity Name
Lifelong AIDS Alliance
Subdivision Name
Type
Ryan White Part A
340B ID
RWI98122
Entity Address
210 S Lucile Street
Seattle, WA 98108
Grant Number
H89HA00022
Participating Start Date
10/1/2018
Last Recertification Date
2/13/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
SEATTLEMEDS PHARMACY
Pharmacy Address
1305 MADISON STREET
SEATTLE, WA 98104
Pharmacy Comments
Contract Details
Approval Date
4/26/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Edward R. Wilhoite Jr., CEO
(206) 957-1625
Contract Pharmacy Representative
Darren Augenstein, President/Pharmacist in Charge
(206) 382-2087
Signed By Date
4/26/2015
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