340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WASEM'S
CAH501332-00 TRI-STATE MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
TRI-STATE MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501332-00
Entity Address
1221 HIGHLAND AVE
CLARKSTON, WA 99403
Medicare Provider Number
501332
Participating Start Date
9/30/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
WASEM'S
Pharmacy Address
WASEMS INC
800 6TH ST
WASEMS
CLARKSTON, WA 99403-2093
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
10/19/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALEX TOWN, CFO
(509) 758-4667
Contract Pharmacy Representative
Rick Wasem, Pharmacist/Owner
(509) 758-2565
Signed By Date
10/7/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session