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DWAYNE'S FRIENDLY PHARMACY
CAH051324-00 NORTHERN INYO HOSPITAL
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Covered Entity Details
Entity Name
NORTHERN INYO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051324-00
Entity Address
150 PIONEER LANE
BISHOP, CA 93514
Medicare Provider Number
051324
Participating Start Date
8/17/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
DWAYNE'S FRIENDLY PHARMACY
Pharmacy Address
644 W LINE ST
BISHOP, CA 93514-3315
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/17/2011
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