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LARRY'S FAMILY PHARMACY
CAH131322-00 FRANKLIN COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
FRANKLIN COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131322-00
Entity Address
44 N 1ST E
PRESTON, ID 83263
Medicare Provider Number
131322
Participating Start Date
7/1/2013
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
LARRY'S FAMILY PHARMACY
Pharmacy Address
217 SOUTH STATE
PRESTON, ID 83263
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Ownership change
Contacts
Covered Entity Signing Official
PAUL SMART, CFO
(208) 852-0137
Contract Pharmacy Representative
Larry Durant, Owner
(208) 852-0163
Signed By Date
7/15/2013
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