340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WHITE DRUG #55
CAH351330-00 West River Health Services
Print
Covered Entity Details
Entity Name
West River Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH351330-00
Entity Address
1000 highway 12
Hettinger, ND 58639
Medicare Provider Number
351330
Participating Start Date
10/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WHITE DRUG #55
Pharmacy Address
112 S MAIN ST
P.O. BOX 750
HETTINGER, ND 58639-7031
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matt Shahan, CEO
(701) 567-6184
Contract Pharmacy Representative
Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554
Signed By Date
4/14/2017
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