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RIDLEYS FAMILY MARKETS
CH101650 FAMILY HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
FAMILY HEALTH SERVICES CORPORATION
Subdivision Name
FAMILY HEALTH SERVICES - ADMINISTRATION
Type
HRSA-Funded Health Center
340B ID
CH101650
Entity Address
794 Eastland Dr
Twin Falls, ID 83301-6856
Grant Number
H80CS00425
Participating Start Date
1/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RIDLEYS FAMILY MARKETS
Pharmacy Address
8464
RIDLEYS PHARMACY
210 MAIN ST S
KIMBERLY, ID 83341
Pharmacy Comments
Contract Details
Approval Date
3/11/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LYNN HUDGENS, CEO
(208) 734-3312 Ext: 209
Contract Pharmacy Representative
Cathi Ketterling, Pharmacy Coordinator
(208) 320-2073
Signed By Date
1/29/2013
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