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RIDLEY'S PHARMACY #1163
CAH531315-00 South Lincoln Hospital District
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Covered Entity Details
Entity Name
South Lincoln Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531315-00
Entity Address
711 Onyx Street
Kemmerer, WY 83101-3214
Medicare Provider Number
531315
Participating Start Date
10/1/2012
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
RIDLEY'S PHARMACY #1163
Pharmacy Address
RIDLEY'S FOOD CORPORATION
620 PINE AVE
KEMMERER, WY 83101-3002
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/28/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Curtis M. Nielson, Director of Finance
(307) 877-4401 Ext: 3127
Contract Pharmacy Representative
Cathi Ketterling, Pharmacy Coordinator
(208) 320-2073
Signed By Date
4/15/2013
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