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WATKINS PHARMACY INC
CAH131308-00 CASCADE MEDICAL CENTER
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Covered Entity Details
Entity Name
CASCADE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131308-00
Entity Address
402 Lake Cascade Parkway
CASCADE, ID 83611-0151
Medicare Provider Number
131308
Participating Start Date
4/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WATKINS PHARMACY INC
Pharmacy Address
220 S MAIN ST
CASCADE, ID 83611
Pharmacy Comments
Contract Details
Approval Date
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christopher R. Bjornberg, CEO
(208) 382-4242
Contract Pharmacy Representative
Watkins Pharmacy
Benjamin Watkins, Owner
(208) 382-4204
Signed By Date
7/14/2016
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