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DELIVERCARERX PHARMACY LLC
CAH501310-00 Pend Oreille County Public Hospital District #1 DBA Newport Community Hospital
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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
DELIVERCARERX PHARMACY LLC
Pharmacy Address
DELIVERCARERX PHARMACY LLC
1471 E BUSINESS CENTER DR
STE 200
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim Manus, CFO
(509) 447-2441 Ext: 4226
Contract Pharmacy Representative
Agape
Dave Krishna, CEO
(847) 965-1600
Signed By Date
10/14/2016
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