340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALBERTSONS LLC
CAH131327-00 Gritman Medical Center
Print
Covered Entity Details
Entity Name
Gritman Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131327-00
Entity Address
700 S Main St
Moscow, ID 83843
Medicare Provider Number
131327
Participating Start Date
7/1/2013
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
SAV-ON PHARMACY #238
1024 21ST ST
LEWISTON, ID 83501
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kara Besst, CEO
(208) 883-2220
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/18/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session