340B Drug Pricing Program Database
INTERMOUNTAIN PHARMACY #07
CAH271347-00 Holy Rosary Healthcare dba Intermountain Health Holy Rosary Hospital - information as of 6/26/2025 12:49:37 AM
Covered Entity Details
Entity Name
Holy Rosary Healthcare dba Intermountain Health Holy Rosary Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271347-00
Entity Address
2600 Wilson Street
Miles City, MT 59301
Medicare Provider Number
271347
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
INTERMOUNTAIN PHARMACY #07
Pharmacy Address
200 EXEMPLA CIR STE P1-142
LAFAYETTE, CO 80026
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pam Palagi, VP of Finacial Services
(406) 723-2414
Contract Pharmacy Representative
SCL Health
Rhiannon Longmore, Pharmacy Business Operations Manager
(303) 272-0922
Signed By Date
7/12/2019
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