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SAGEN'S PHARMACY
CAH501303-00 WILLAPA HARBOR HOSPITAL
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Covered Entity Details
Entity Name
WILLAPA HARBOR HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501303-00
Entity Address
800 ALDER STREET
SOUTH BEND, WA 98586
Medicare Provider Number
501303
Participating Start Date
10/1/2017
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAGEN'S PHARMACY
Pharmacy Address
DBA, RAYMOND PHARMACY
515 COMMERCIAL ST
RAYMOND, WA 98577
Pharmacy Comments
Contract Details
Approval Date
7/27/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Phillip Hjembo, CFO
(360) 875-4508
Contract Pharmacy Representative
Jeff Harrell, President
(360) 942-2634
Signed By Date
7/27/2017
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