340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
EXPRESS SCRIPTS PHARMACY, INC.
CAH051324-00 NORTHERN INYO HOSPITAL
Print
Covered Entity Details
Entity Name
NORTHERN INYO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051324-00
Entity Address
150 PIONEER LANE
BISHOP, CA 93514
Medicare Provider Number
051324
Participating Start Date
8/17/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
1/15/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/7/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelli Rae Davis, Interim CEO
(760) 873-5811 Ext: 2109
Contract Pharmacy Representative
Acreedo Specialty
Gene McCabe, Senior Director
(615) 943-7500
Signed By Date
1/15/2022
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