Contract Pharmacy Details

THRIFTY DRUG STORE
CH083270 BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC

Covered Entity Details

Entity Name

BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC

Subdivision Name

BUTTE-SILVER BOW PRIMARY HEALTH CARE

Type

HRSA-Funded Health Center

340B ID

CH083270

Entity Address

445 Centennial Ave.
Butte, MT 59701-2870

Grant Number

H80CS00799

Participating Start Date

7/1/1998

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

THRIFTY DRUG STORE

Pharmacy Address

MICHAEL RICHARDS; PIC: KELLIE WILSON
201 E PARK AVE
ANACONDA, MT 59711

Pharmacy Comments

Contract Details

Approval Date

7/15/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jennifer Malone, Chief Executive Officer
(406) 496-6018

Contract Pharmacy Representative

Thrifty Drug
Mike Richards, Owner
(406) 563-8441

Signed By Date

7/15/2019

340B Drug Pricing Program Database