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PRESCRIPTION CENTER INC
CH101188D Community Council of Idaho, Inc.
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Covered Entity Details
Entity Name
Community Council of Idaho, Inc.
Subdivision Name
Community Family Clinic Blackfoot
Type
HRSA-Funded Health Center
340B ID
CH101188D
Entity Address
1491 Parkway Dr
BLACKFOOT, ID 83221
Grant Number
H80CS04201
Participating Start Date
12/6/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PRESCRIPTION CENTER INC
Pharmacy Address
2252 CORONADO ST
IDAHO FALLS, ID 83404
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Arnold Cantu, ADMINISTRATOR
(208) 528-7655 Ext: 3519
Contract Pharmacy Representative
Prescription Center
Anna Himrich, PharmD
(208) 523-3360
Signed By Date
4/15/2022
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