Contract Pharmacy Details

CVS CAREMARK
CH08499J COMMUNITY HEALTH PARTNERS, INC.

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

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

7/1/2022
Covered Entity Terminated

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