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WHITE CROSS PHARMACY - PRIEST RIVER
CH10630J BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
KHS Priest River
Type
HRSA-Funded Health Center
340B ID
CH10630J
Entity Address
6509 Highway 2, Ste 101
Priest River, ID 83856-6609
Grant Number
H80CS00302
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WHITE CROSS PHARMACY - PRIEST RIVER
Pharmacy Address
5453 HIGHWAY 2
PO BOX 458
PRIEST RIVER, ID 83856
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Emma Keverkamp, Chief Financial Officer
(208) 263-7101 Ext: 2213
Contract Pharmacy Representative
Deblaquiere Ent Inc
Rich De Blaquiere, Owner/Pharmacist
(208) 448-1633
Signed By Date
4/14/2025
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