340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALBERTSON'S LLC
CAH531306-00 WASHAKIE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
WASHAKIE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531306-00
Entity Address
400 SOUTH 15TH STREET
WORLAND, WY 82401
Medicare Provider Number
531306
Participating Start Date
4/1/2011
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ALBERTSON'S LLC
Pharmacy Address
OSCO PHARMACY #2061
1825 17TH STREET
CODY, WY 82414
Pharmacy Comments
Contract Details
Approval Date
1/18/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer McMillan, Chief Financial Officer
(307) 347-6940
Contract Pharmacy Representative
SAFEWAY
Charles Hanson, 340B Program Manager
(208) 395-6304
Signed By Date
1/18/2019
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