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PENINSULA PHARMACIES INC
CAH501314-00 Ocean Beach Hospital
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Covered Entity Details
Entity Name
Ocean Beach Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501314-00
Entity Address
174 First Ave N
Ilwaco, WA 98624
Medicare Provider Number
501314
Participating Start Date
1/1/2012
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PENINSULA PHARMACIES INC
Pharmacy Address
ILWACO DRUG CO
101 1ST AVE S
PO BOX B
ILWACO, WA 98624
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kendall Sawa, CEO
(360) 642-6300
Contract Pharmacy Representative
Peninsula Pharmacies Inc.
JEFF HARRELL, PRESIDENT
(360) 642-3200
Signed By Date
7/14/2015
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