340B Drug Pricing Program Database
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RIVER MEDICAL PHARMACY LLC
ST. ALPHONSUS MEDICAL CENTER - NAMP
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Covered Entity Details
Entity Name
ST. ALPHONSUS MEDICAL CENTER - NAMP
Subdivision Name
Type
Rural Referral Center
340B ID
Entity Address
1512 12TH AVE ROAD
NAMPA, ID 83686
Medicare Provider Number
130013
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
RIVER MEDICAL PHARMACY LLC
Pharmacy Address
4752 RESEARCH DR
SAN ANTONIO, TX 78240-5002
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347
Contract Pharmacy Representative
Bioplus
Derek Ormand, Senior Director Specialty Pharmacy
(888) 292-0744
Signed By Date
1/13/2025
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