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CORNER DRUG COMPANY
CAH131313-00 Teton Valley Health Care, Inc. dba Teton Valley Hospital
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Covered Entity Details
Entity Name
Teton Valley Health Care, Inc. dba Teton Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131313-00
Entity Address
120 East Howard Avenue
Driggs, ID 83422
Medicare Provider Number
131313
Participating Start Date
7/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
CORNER DRUG COMPANY
Pharmacy Address
10 S MAIN ST
P.O. BOX 758
DRIGGS, ID 83422
Pharmacy Comments
Contract Details
Approval Date
4/22/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Keith Gnagey, CEO
(208) 354-6355
Contract Pharmacy Representative
Hunters Inc.
Sally Myler, Owner
(208) 354-2334
Signed By Date
4/19/2013
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