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
CAH131324-00 Lost Rivers District Hospital

Covered Entity Details

Lost Rivers Medical Center
Critical Access Hospital
CAH131324-00
551 Highland Drive
Arco, ID 83213
131324
7/1/2013
8/15/2024


Pharmacy Details

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

Contract Details

4/15/2019
7/1/2019

10/6/2020
Business decision by covered entity and/or pharmacy


Contacts


Bradley Huerta, Administrator / CEO
(208) 252-7654 Ext: 701



Western Pharmacy Group LLC
KEVIN FARIS, CEO
(360) 685-4263
4/15/2019