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ROCKLAND PHARMACY
CAH131304-00 Power County Hospital District
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Covered Entity Details
Entity Name
Power County Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131304-00
Entity Address
510 Roosevelt ST
American Falls, ID 83211
Medicare Provider Number
131304
Participating Start Date
7/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ROCKLAND PHARMACY
Pharmacy Address
524 TYHEE AVE
AMERICAN FALLS, ID 83211-8321
Pharmacy Comments
Contract Details
Approval Date
6/12/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/24/2019
Ownership change
Contacts
Covered Entity Signing Official
Shauna Croft, CFO
(208) 226-3200 Ext: 128
Contract Pharmacy Representative
Rod Tucker, Owner
(208) 226-2411
Signed By Date
4/15/2013
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