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WAL-MART CENTRAL FILL 10-2670
CH08499J COMMUNITY HEALTH PARTNERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PARTNERS, INC.
Subdivision Name
CHP-Bozeman Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH08499J
Entity Address
120 N 19TH AVE
BOZEMAN, MT 59718-3911
Grant Number
H80CS00736
Participating Start Date
7/1/2013
Last Recertification Date
2/9/2022
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
7/7/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rebecca Hale, CFO
(406) 823-6301
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
7/7/2020
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