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TICK KLOCK DRUGS
CAH501327-00 Whitman Hospital and Medical Center
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Covered Entity Details
Entity Name
Whitman Hospital and Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501327-00
Entity Address
1200 West Fairview
Colfax, WA 99111
Medicare Provider Number
501327
Participating Start Date
7/1/2012
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
TICK KLOCK DRUGS
Pharmacy Address
109 S MAIN STREET
COLFAX, WA 99111-1803
Pharmacy Comments
Contract Details
Approval Date
10/1/2012
Contract Begin Date
10/1/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Jim Heilsberg, CFO
(509) 397-3435 Ext: 312
Contract Pharmacy Representative
Mark Johnson, Owner
(509) 397-2111
Signed By Date
9/12/2012
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