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OMAK PHARMACY INC
CAH501328-00 Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
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Covered Entity Details
Entity Name
Okanogan County Public Hospital District No. 3 Dba Mid-Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501328-00
Entity Address
810 Jasmine Street
Omak, WA 98841
Medicare Provider Number
501328
Participating Start Date
10/1/2013
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OMAK PHARMACY INC
Pharmacy Address
903 ENGH RD
SUITE#A
OMAK, WA 98841
Pharmacy Comments
Contract Details
Approval Date
8/9/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scot Attridge, CFO
(509) 826-1760
Contract Pharmacy Representative
Dinesh Gajjala, Pharmacy Manager
(509) 422-1500
Signed By Date
7/15/2013
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