Contract Pharmacy Details

CHINOOK PHARMACY INC
CH081100 SWEET MEDICAL CENTER INC

Covered Entity Details

Entity Name

SWEET MEDICAL CENTER INC

Subdivision Name

SWEET MEDICAL CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH081100

Entity Address

419 PENNSYLVANIA
CHINOOK, MT 59523-0309

Grant Number

H80CS00869

Participating Start Date

10/1/2003

Last Recertification Date

2/26/2018

Entity Termination Date

4/1/2019

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

5/10/2005

Contract Begin Date

5/10/2005

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

3/10/2005

340B Drug Pricing Program Database