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ALEXANDER DRUG INC DBA SAV-MOR DRUG
CH101610 GLENNS FERRY HEALTH CENTER, Inc.
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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 DBA SAV-MOR DRUG
Pharmacy Address
490 N 2ND E
MOUNTAIN HOME, ID 83647-2729
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
4/5/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LESLYN PHELPS, CEO
(208) 366-2044
Contract Pharmacy Representative
SavMor
Jeff Jausoro, President
(208) 587-3346
Signed By Date
4/4/2016
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