340B Drug Pricing Program Database
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CH100180 HEALTH WEST INC (Active)
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Main Details
Name
HEALTH WEST INC
Subdivision Name
HEALTH WEST - ADMINISTRATION OFFICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013633
340B ID
CH100180
Grant Number
H80CS00321
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
2/12/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Health West Inc.
Mark T Horrocks, Chief Medical Officer
(208) 232-7862
Primary Contact
Health West, Inc.
Brady Brower, Director of Pharmacy
(208) 232-7862 Ext: 1149
Addresses
Street Address
500 S 11th AVE
POCATELLO, ID 83201-4835
Billing Address
HEALTH WEST INC
PO BOX 2377
POCATELLO, ID 83206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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