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RIDLEY'S FOOD AND DRUG
CAH131307-00 Weiser Valley Hospital District, dba Weiser Memorial Hospital
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Covered Entity Details
Entity Name
Weiser Valley Hospital District, dba Weiser Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131307-00
Entity Address
645 East 5th Street
Weiser, ID 83672
Medicare Provider Number
131307
Participating Start Date
7/1/2013
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
RIDLEY'S FOOD AND DRUG
Pharmacy Address
1401 E 6TH ST
WEISER, ID 83672
Pharmacy Comments
Contract Details
Approval Date
5/3/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nathan Coburn, CFO
(208) 549-4460
Contract Pharmacy Representative
Cathi Ketterling, Pharmacy Coordinator
(208) 320-2073
Signed By Date
4/19/2013
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