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AHSSHC
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
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
10/3/2014
Contract Begin Date
1/1/2015
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
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
10/3/2014
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