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RIDLEY'S FOOD CORP
CH10165F FAMILY HEALTH SERVICES CORPORATION
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Covered Entity Details
Entity Name
FAMILY HEALTH SERVICES CORPORATION
Subdivision Name
FAMILY HEALTH SERVICES - RUPERT
Type
HRSA-Funded Health Center
340B ID
CH10165F
Entity Address
402 6th Street
Rupert, ID 83350-1306
Grant Number
H80CS00425
Participating Start Date
7/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RIDLEY'S FOOD CORP
Pharmacy Address
310 ONEIDA ST
RUPERT, ID 83350-1756
Pharmacy Comments
Contract Details
Approval Date
4/2/2010
Contract Begin Date
4/2/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/5/2010
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