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 SACRAMENTO, INC.
CAH131319-00 Minidoka Memorial Hospital

Covered Entity Details

Critical Access Hospital
CAH131319-00
1224 8th St
Rupert, ID 83350
131319
7/1/2012
8/21/2024


Pharmacy Details

2288 AUBURN BLVD #102
SACRAMENTO, CA 95821
01/28/2013 name update (was GREATER SACRAMENTO PHARMACY, INC.)

Contract Details

4/16/2016
7/1/2016

7/31/2020
Business decision by covered entity and/or pharmacy


Contacts


Jason Gibbons, CFO
(208) 436-8153



Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
4/16/2016