340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BARTELL DRUGS #06975
CAH501338-00 PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
Print
Covered Entity Details
Entity Name
PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501338-00
Entity Address
9801 Frontier Ave SE
SNOQUALMIE, WA 98065
Medicare Provider Number
501338
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
BARTELL DRUGS #06975
Pharmacy Address
35013 SNOQUALMIE PKWY
SNOQUALMIE, WA 98065-9709
Pharmacy Comments
Contract Details
Approval Date
1/9/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
THOMAS S. PARKER, CEO
(425) 831-2364
Contract Pharmacy Representative
Bartell Drugs
Marla Gunn, District Manager
(206) 767-1351
Signed By Date
1/9/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session