340B Drug Pricing Program Database

Pharmacy Name

MONTANA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08624
2001 10TH AVENUE SOUTH
GREAT FALLS, MT 59405

Pharmacy Comments

Approval Date

11/19/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Terry Olinger, President
(406) 455-5477

Contract Pharmacy Representative

CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241

Signed By Date

10/31/2018