340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TICK KLOCK DRUG LIMITED LIABILITY COMPAN
CAH501327-00 Whitman Hospital and Medical Center
Print
Covered Entity Details
Entity Name
Whitman Hospital and Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501327-00
Entity Address
1200 West Fairview
Colfax, WA 99111
Medicare Provider Number
501327
Participating Start Date
7/1/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
TICK KLOCK DRUG LIMITED LIABILITY COMPAN
Pharmacy Address
109 S MAIN ST
COLFAX, WA 99111
Pharmacy Comments
Contract Details
Approval Date
7/6/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Abby Smith, Chief Financial Officer
(509) 397-3435 Ext: 312
Contract Pharmacy Representative
Tick Klock Drug LLC
Nathan Johnson, Pharmacy Owner
(509) 397-2111
Signed By Date
7/6/2023
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