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IRWIN DRUG INC.
CAH131315-00 Syringa Hospital District
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Covered Entity Details
Entity Name
Syringa Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131315-00
Entity Address
607 W Main Street
Grangeville, ID 83530
Medicare Provider Number
131315
Participating Start Date
4/1/2013
Last Recertification Date
8/17/2024
Pharmacy Details
Pharmacy Name
IRWIN DRUG INC.
Pharmacy Address
146 W MAIN ST.
GRANGEVILLE, ID 83530
Pharmacy Comments
Contract Details
Approval Date
4/17/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Betty Watson, CFO
(208) 983-8516
Contract Pharmacy Representative
Chad Jungert, Owner
(208) 983-1090
Signed By Date
4/17/2013
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