Contract Pharmacy Details

CVS CAREMARK
CH08499G COMMUNITY HEALTH PARTNERS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH PARTNERS, INC.

Subdivision Name

CHP-Belgrade

Type

HRSA-Funded Health Center

340B ID

CH08499G

Entity Address

19 E Main St
Belgrade, MT 59714-3715

Grant Number

H80CS00736

Participating Start Date

4/1/2008

Last Recertification Date

1/31/2024

Entity Termination Date

10/1/2024

Pharmacy Details

Pharmacy Name

CVS CAREMARK

Pharmacy Address

DBA CVS/CAREMARK OR CF# 11506
1 GREAT VALLEY BOULEVARD
WILKES BARRE, PA 18706

Pharmacy Comments

Contract Details

Approval Date

7/13/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/2/2023
Agreement registered in error

Contacts

Covered Entity Signing Official

Rebecca Hale, CFO
(406) 823-6301

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/13/2020

340B Drug Pricing Program Database