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LEE & DAD'S IGA
CH08499A COMMUNITY HEALTH PARTNERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PARTNERS, INC.
Subdivision Name
CHP - Bozeman
Type
HRSA-Funded Health Center
340B ID
CH08499A
Entity Address
1695 Tschache Lane
Bozeman, MT 59715
Grant Number
H80CS00736
Participating Start Date
4/1/2002
Last Recertification Date
1/31/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
LEE & DAD'S IGA
Pharmacy Address
ATTN: PATRICK NIX, PHARMACIST IN CHARGE
205 WEST MADISON AVENUE
BELGRADE, MT 59714
Pharmacy Comments
Contract Details
Approval Date
8/27/2010
Contract Begin Date
9/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/23/2010
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