340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ROCKLAND PHARMACY
CAH131304-00 Power County Hospital District
Print
Covered Entity Details
Entity Name
Power County Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131304-00
Entity Address
510 Roosevelt ST
American Falls, ID 83211
Medicare Provider Number
131304
Participating Start Date
7/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ROCKLAND PHARMACY
Pharmacy Address
524 TYHEE AVE
AMERICAN FALLS, ID 83211-8321
Pharmacy Comments
Contract Details
Approval Date
4/24/2019
Contract Begin Date
4/24/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremy Claunch, CFO
(208) 226-3200 Ext: 211
Contract Pharmacy Representative
Rockland Pharmacy
P. Scott Anderson, Owner
(208) 226-2411
Signed By Date
4/24/2019
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