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CVS PHARMACY INC
DSH270012 BENEFIS HOSPITALS INC.
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Covered Entity Details
Entity Name
BENEFIS HOSPITALS INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH270012
Entity Address
1101 26TH STREET SOUTH
GREAT FALLS, MT 59405
Medicare Provider Number
270012
Participating Start Date
1/1/2019
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY INC
Pharmacy Address
777 S HARBOR BLVD STE D-152
LA HABRA, CA 90631-6882
Pharmacy Comments
Contract Details
Approval Date
11/19/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/18/2019
Business decision by covered entity and/or pharmacy
Contacts
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
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