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BENGAL PHARMACY
CH101840 ADAMS COUNTY HEALTH CENTER INC
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Covered Entity Details
Entity Name
ADAMS COUNTY HEALTH CENTER INC
Subdivision Name
ADAMS COUNTY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH101840
Entity Address
205 NORTH BERKLEY
COUNCIL, ID 83612
Grant Number
H80CS08329
Participating Start Date
4/1/2006
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BENGAL PHARMACY
Pharmacy Address
990 SOUTH 8TH AVE
POCATELLO, ID 83209-0001
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DENISE A. LANGSTON-GROVES, EXECUTIVE DIRECTOR
(208) 253-4242
Contract Pharmacy Representative
Kimberly Wynn, Pharmacy Manager
(208) 282-3407
Signed By Date
10/14/2014
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