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IDAHO STATE UNIVERSITY
CHC29003-00 NORTH CUSTER HOSPITAL DIS
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Covered Entity Details
Entity Name
NORTH CUSTER HOSPITAL DIS
Subdivision Name
Challis Area Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29003-00
Entity Address
611 CLINIC RD
CHALLIS, ID 83226-4824
Grant Number
H80CS29003
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
IDAHO STATE UNIVERSITY
Pharmacy Address
BENGAL PHARMACY POCATELLO
990 S 8TH AVE STOP 8158
POCATELLO, ID 83209-8158
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
7/14/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Rembelski, CEO
(208) 879-3035
Contract Pharmacy Representative
Bengal Pharmacy
Brady Brower, Pharmacy Director
(208) 282-3407
Signed By Date
7/13/2021
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