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CENTERWELL PHARMACY, INC.
CAH131309-00 CARIBOU MEDICAL CENTER
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Covered Entity Details
Entity Name
CARIBOU MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131309-00
Entity Address
300 SOUTH 3RD WEST
SODA SPRINGS, ID 83276
Medicare Provider Number
131309
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CENTERWELL PHARMACY, INC.
Pharmacy Address
9843 WINDISCH RD
WEST CHESTER, OH 45069
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alan Robinson, CFO
(208) 547-3341 Ext: 7006
Contract Pharmacy Representative
Centerwell
Amy Reilly, Sr. 340B Channel Professional
(608) 201-6098
Signed By Date
10/13/2022
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