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WALGREEN CO.
CH100640 NEIGHBORCARE HEALTH
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Covered Entity Details
Entity Name
NEIGHBORCARE HEALTH
Subdivision Name
Neighborcare Health Administration
Type
HRSA-Funded Health Center
340B ID
CH100640
Entity Address
1200 12th AVE S,
Suite 901
Seattle, WA 98144
Grant Number
H80CS00829
Participating Start Date
7/1/1998
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04627
275 RAINIER AVENUE S
RENTON, WA 98057
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARK SECORD, CEO
(206) 548-3050
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/15/2013
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