340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
1ST AVENUE PHARMACY
CAH501310-00 Pend Oreille County Public Hospital District #1 DBA Newport Community Hospital
Print
Covered Entity Details
Entity Name
Pend Oreille County Public Hospital District #1 DBA Newport Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501310-00
Entity Address
714 W. Pine Street
Newport, WA 99156
Medicare Provider Number
501310
Participating Start Date
10/1/2012
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
1ST AVENUE PHARMACY
Pharmacy Address
DBA GENOA HEALTHCARE, LLC
6 E 1ST AVENUE
SPOKANE, WA 99202
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
Kim Manus, CFO
(509) 447-2441 Ext: 4226
Contract Pharmacy Representative
Rob Leland, Manager
(509) 624-3017
Signed By Date
7/14/2015
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