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HI-SCHOOL PHARMACY INC
CAH501315-00 Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
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Covered Entity Details
Entity Name
Klickitat County Public Hospital District #2, d/b/a Skyline Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501315-00
Entity Address
211 Skyline Drive
White Salmon, WA 98672-0099
Medicare Provider Number
501315
Participating Start Date
1/1/2014
Last Recertification Date
8/18/2024
Pharmacy Details
Pharmacy Name
HI-SCHOOL PHARMACY INC
Pharmacy Address
HI-SCHOOL PHARMACY #3500
291 E JEWETT BLVD
PO BOX 1609
WHITE SALMON, WA 98672-3000
Pharmacy Comments
Contract Details
Approval Date
11/8/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renee Warner, Controller
(509) 637-2922
Contract Pharmacy Representative
Jack Holt, Pharmacy Director/Owner
(360) 693-5879
Signed By Date
10/15/2013
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