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TULALIP PHARMACY
FQHC638337A TULALIP TRIBES
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Covered Entity Details
Entity Name
TULALIP TRIBES
Subdivision Name
TULALIP HEALTH CLINIC
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638337A
Entity Address
7520 Totem Beach Road
Tulalip, WA 98271
Grant Number
Participating Start Date
4/2/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
TULALIP PHARMACY
Pharmacy Address
8825 34TH AVE NE STE A
QUIL CEDA VILLAGE, WA 98271-8085
Pharmacy Comments
Contract Details
Approval Date
5/1/2007
Contract Begin Date
5/1/2007
Carve-In Effective Date
Contract Comments
4/10/09 ADDR UPDATE(WAS SUITE N, MARYSVILLE WA 98270)
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Tulalip Clinical Pharmacy
Kelvin Lee, Manager
(360) 716-2660
Signed By Date
3/14/2007
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