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ST. PETER'S HEALTH BROADWAY PHARMACY
SCH270003-00 ST. PETERS HEALTH
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Covered Entity Details
Entity Name
ST. PETERS HEALTH
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH270003-00
Entity Address
2475 E Broadway St.
HELENA, MT 59601
Medicare Provider Number
270003
Participating Start Date
3/15/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ST. PETER'S HEALTH BROADWAY PHARMACY
Pharmacy Address
ATTN: PHARMACIST IN CHARGE
2550 E BROADWAY ST
HELENA, MT 59601
Pharmacy Comments
Contract Details
Approval Date
11/21/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/25/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Nathan M Coburn, CFO
(406) 444-2122
Contract Pharmacy Representative
St. Peter's Health
Starla Marie Blank, Director of Pharmacy
(406) 444-2355
Signed By Date
10/10/2018
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