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WALGREEN CO.
CAH271335-00 Community Hospital of Anaconda
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Covered Entity Details
Entity Name
Community Hospital of Anaconda
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271335-00
Entity Address
401 West Pennsylvania Street
Anaconda, MT 59711
Medicare Provider Number
271335
Participating Start Date
1/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13818
2611 HARRISON AVE.
BUTTE, MT 59701
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Margaret Irene Hickey-Boynton, CFO
(406) 563-8512
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2019
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