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MAAG PRESCRIPTION CENTER, LLC
CH10018I HEALTH WEST, INC.
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Covered Entity Details
Entity Name
HEALTH WEST, INC.
Subdivision Name
MCCAMMON CLINIC
Type
HRSA-Funded Health Center
340B ID
CH10018I
Entity Address
204 CENTER STREET
MCCAMMON, ID 83250
Grant Number
H80CS00321
Participating Start Date
10/1/2007
Last Recertification Date
2/22/2016
Entity Termination Date
4/1/2016
Pharmacy Details
Pharmacy Name
MAAG PRESCRIPTION CENTER, LLC
Pharmacy Address
333 W CENTER ST
PO BOX 115
POCATELLO, ID 83204-3243
Pharmacy Comments
Contract Details
Approval Date
5/6/2008
Contract Begin Date
5/6/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/6/2008
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