340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
IRWIN DRUG INC.
CAH131321-00 ST. MARYS HOSPITAL
Print
Covered Entity Details
Entity Name
ST. MARYS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131321-00
Entity Address
701 LEWISTON ST.
COTTONWOOD, ID 83522-0137
Medicare Provider Number
131321
Participating Start Date
4/1/2019
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
IRWIN DRUG INC.
Pharmacy Address
146 W MAIN ST.
GRANGEVILLE, ID 83530
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jyl Ruland, CFO
(208) 476-8062
Contract Pharmacy Representative
Irwin Drug Inc.
Chad Jungert, Owner
(208) 983-1090
Signed By Date
4/14/2021
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