340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

WESTERN PHARMACY GROUP LLC
CAH131319-00 Minidoka Memorial Hospital

Covered Entity Details

Critical Access Hospital
CAH131319-00
1224 8th St
Rupert, ID 83350
131319
7/1/2012
8/21/2024


Pharmacy Details

DBA COMMUNITY MEDICAL CENTER PHARMACY
610 GATEWAY CENTER WAY
SUITES A--E
SAN DIEGO, CA 92102

Contract Details

7/17/2018
10/1/2018

3/31/2021
Business decision by covered entity and/or pharmacy


Contacts


Jason Gibbons, CFO
(208) 436-8153



Western Pharmacy Group LLC
KEVIN FARIS, CEO
(360) 685-4263
7/17/2018