340B Drug Pricing Program Database
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MAAG PRESCRIPTION CENTER, LLC
CAH131325-00 BMH, INC. DBA BINGHAM MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
BMH, INC. DBA BINGHAM MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131325-00
Entity Address
98 POPLAR
BLACKFOOT, ID 83221
Medicare Provider Number
131325
Participating Start Date
9/8/2010
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MAAG PRESCRIPTION CENTER, LLC
Pharmacy Address
333 W CENTER ST
PO BOX 115
POCATELLO, ID 83204-3243
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
3/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jake Erickson, CEO
(208) 785-3803
Contract Pharmacy Representative
Maag's Prescription Center
Greg Maag, Owner
(208) 233-2063
Signed By Date
10/14/2020
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