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VALLEY DRUG CO.
CH10036M NEW HEALTH PROGRAMS ASSOCIATION
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Covered Entity Details
Entity Name
NEW HEALTH PROGRAMS ASSOCIATION
Subdivision Name
NEW Health Lake Spokane Dental
Type
HRSA-Funded Health Center
340B ID
CH10036M
Entity Address
5952 Blackstone Way STE 100
Nine Mile Falls, WA 99026
Grant Number
H80CS00493
Participating Start Date
4/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
VALLEY DRUG CO.
Pharmacy Address
E. 102 MAIN
P.O. BOX 107
CHEWELAH, WA 99109-0107
Pharmacy Comments
Contract Details
Approval Date
1/20/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Lake Spokane Pharmacy
Kevin Herda, Owner
(509) 738-2223
Signed By Date
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