340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
R AND R PHARMACY TWIN FALLS
CAH131302-00 NORTH CANYON MEDICAL CENTER
Print
Covered Entity Details
Entity Name
NORTH CANYON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131302-00
Entity Address
267 NORTH CANYON DRIVE
GOODING, ID 83330
Medicare Provider Number
131302
Participating Start Date
10/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
R AND R PHARMACY TWIN FALLS
Pharmacy Address
2392 ADDISON AVE E
TWIN FALLS, ID 83301-6745
Pharmacy Comments
Contract Details
Approval Date
10/10/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara DeMoe, Controller
(208) 934-4433 Ext: 1201
Contract Pharmacy Representative
North Canyon Medical Center INC.
Tyson Frodin, Director of Pharmacy
(208) 934-4433 Ext: 1195
Signed By Date
10/10/2017
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