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SALMON PHARMACY, LLC
CAH131305-00 STEELE MEMORIAL MEDICAL CENTER
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Covered Entity Details
Entity Name
STEELE MEMORIAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131305-00
Entity Address
203 S. DAISY STREET
SALMON, ID 83467
Medicare Provider Number
131305
Participating Start Date
10/1/2015
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
SALMON PHARMACY, LLC
Pharmacy Address
309 MAIN ST
SALMON, ID 83467-1256
Pharmacy Comments
Contract Details
Approval Date
7/1/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lionel Joey Montoya, Chief Financial Officer
(208) 756-5618
Contract Pharmacy Representative
Salmon Pharmacy
Eric D Andersen, Owner
(208) 731-5219
Signed By Date
7/1/2020
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