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EASTMAN DRUG COMPANY
CAH131309-00 CARIBOU MEDICAL CENTER
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Covered Entity Details
Entity Name
CARIBOU MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131309-00
Entity Address
300 SOUTH 3RD WEST
SODA SPRINGS, ID 83276
Medicare Provider Number
131309
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
EASTMAN DRUG COMPANY
Pharmacy Address
116 SOUTH MAIN
SODA SPRINGS, ID 83276
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JON SMITH, CEO
(208) 547-2765
Contract Pharmacy Representative
Irvin Christensen, President
(208) 547-3585
Signed By Date
7/14/2016
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