340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
INTERMOUNTAIN PHARMACY #07
SCH270017-00 SAINT JAMES HEALTHCARE
Print
Covered Entity Details
Entity Name
SAINT JAMES HEALTHCARE
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH270017-00
Entity Address
400 SOUTH CLARK
BUTTE, MT 59701
Medicare Provider Number
270017
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
INTERMOUNTAIN PHARMACY #07
Pharmacy Address
200 EXEMPLA CIR STE P1-142
LAFAYETTE, CO 80026
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
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
7/13/2018
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