Contract Pharmacy Details

ALEXANDER DRUG INC
CH101610 GLENNS FERRY HEALTH CENTER, Inc.

Covered Entity Details

Entity Name

GLENNS FERRY HEALTH CENTER, Inc.

Subdivision Name

DESERT SAGE HEALTH CENTERS

Type

HRSA-Funded Health Center

340B ID

CH101610

Entity Address

486 W. FIRST AVE.
GLENNS FERRY, ID 83623

Grant Number

H80CS00473

Participating Start Date

10/1/1998

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

ALEXANDER DRUG INC

Pharmacy Address

DBA SAV-MOR DRUG
SAV-MOR DRUG
490 NORTH 2ND EAST
MOUNTAIN HOME, ID 83647

Pharmacy Comments

Contract Details

Approval Date

5/5/2010

Contract Begin Date

5/11/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/15/2021
Ownership change

Contacts

Covered Entity Signing Official

LESLYN PHELPS, CEO
(208) 366-2044

Contract Pharmacy Representative

SavMor
Jeff Jausoro, President
(208) 587-3346

Signed By Date

4/30/2010

340B Drug Pricing Program Database