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MARKETIME DRUGS OF MOSCOW INC
CAH131327-00 Gritman Medical Center
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Covered Entity Details
Entity Name
Gritman Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131327-00
Entity Address
700 S Main St
Moscow, ID 83843
Medicare Provider Number
131327
Participating Start Date
7/1/2013
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
MARKETIME DRUGS OF MOSCOW INC
Pharmacy Address
872 TROY RD STE 120
MOSCOW, ID 83843-5037
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kara Besst, CEO
(208) 883-2220
Contract Pharmacy Representative
Sixth Avenue Medical Pharmacy
Erik Nelson, President
(509) 455-9345
Signed By Date
10/14/2020
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