340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VILLAGE DRUG
CHC29012-03 MARIAS HEALTHCARE SERVICES INC
Print
Covered Entity Details
Entity Name
MARIAS HEALTHCARE SERVICES INC
Subdivision Name
Marias Healthcare Services - Dentistry
Type
HRSA-Funded Health Center
340B ID
CHC29012-03
Entity Address
865 OILFIELD AVE
SHELBY, MT 59474-2702
Grant Number
H80CS29012
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VILLAGE DRUG
Pharmacy Address
600 S MAIN ST
CONRAD, MT 59425
Pharmacy Comments
Contract Details
Approval Date
4/1/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jamie F Brownell, CEO
(406) 434-3110
Contract Pharmacy Representative
Village Drug
Brandon Utterback, Owner, Pharmacist in Charge
(406) 278-3267
Signed By Date
4/1/2019
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