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CHINOOK PHARMACY INC
CHC24102-00 BIGHORN VALLEY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
BIGHORN VALLEY HEALTH CENTER, INC
Subdivision Name
One Health - Bighorn
Type
HRSA-Funded Health Center
340B ID
CHC24102-00
Entity Address
10 West 4th Street STE B
Hardin, MT 59034-1804
Grant Number
H80CS24102
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CHINOOK PHARMACY INC
Pharmacy Address
ATTN: ANGELA BILLMAYER, PHARMACIST IN CH
300 INDIANA ST
CHINOOK, MT 59523
Pharmacy Comments
01/07/2013 address update (was 96 3RD STREET PO BOX 609); 3/25/10 UPDATED ADDR (WAS 224 PENNSYLVANIA);
Contract Details
Approval Date
2/20/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David A. Mark, Chief Executive Officer
(406) 665-4103
Contract Pharmacy Representative
Chinook Pharmacy
Kelcey J Diemert, Pharmacist in Charge
(406) 357-3333
Signed By Date
2/20/2019
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