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CARDINAL HEALTH 132, LLC
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
CARDINAL HEALTH 132, LLC
Pharmacy Address
DBA: SYRINGA CLINIC PHARMACY
607 WEST MAIN STREET
SUITE 100
GRANGEVILLE, ID 83530-1345
Pharmacy Comments
Contract Details
Approval Date
1/5/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Betty Watson, CFO
(208) 983-8516
Contract Pharmacy Representative
Cardinal Health
Curtis Hartin, Dir. Community Health Center Pharmacies
(864) 430-0906
Signed By Date
1/5/2017
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