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DRUG MART INC
CH0811480 GLACIER COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
GLACIER COMMUNITY HEALTH CENTER, INC.
Subdivision Name
GLACIER COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0811480
Entity Address
519 E Main St
Cut Bank, MT 59427-3015
Grant Number
H80CS01451
Participating Start Date
10/1/2016
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
DRUG MART INC
Pharmacy Address
601 WEST MAIN
NORTHERN VILLAGE MALL
CUT BANK, MT 59427-2829
Pharmacy Comments
Contract Details
Approval Date
10/1/2004
Contract Begin Date
10/1/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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