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ALEXANDER DRUG INC DBA SAV-MOR DRUG
CH10161A GLENNS FERRY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GLENNS FERRY HEALTH CENTER, INC.
Subdivision Name
DESERT SAGE HEALTH CENTERS
Type
HRSA-Funded Health Center
340B ID
CH10161A
Entity Address
120 DESERT SAGE WAY
Mountain Home, ID 83647-3142
Grant Number
H80CS00473
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ALEXANDER DRUG INC DBA SAV-MOR DRUG
Pharmacy Address
490 N 2ND E
MOUNTAIN HOME, ID 83647-2729
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Ferguson Ferguson, CEO
(208) 696-7216
Contract Pharmacy Representative
SavMor
Jeff Jausoro, President
(208) 587-3346
Signed By Date
10/13/2023
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