340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

AVELLA OF DEER VALLEY, INC. #38
CAH051328-00 TAHOE FOREST HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH051328-00
10121 PINE AVENUE
TRUCKEE, CA 96161
051328
1/1/2011
9/4/2024


Pharmacy Details

DBA AVELLA SPECIALTY PHARMACY
24416 N. 19TH AVE
PHOENIX, AZ 85085

Contract Details

7/18/2017
10/1/2017

4/15/2019
Agreement registered in error


Contacts


CRYSTAL BETTS, CHIEF FINANCIAL OFFICER
(530) 582-6656



Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
7/18/2017