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SALMON PHARMACY, LLC
CAH271340-00 Marcus Daly Memorial Hospital Corp
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Covered Entity Details
Entity Name
Marcus Daly Memorial Hospital Corp
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271340-00
Entity Address
1200 Westwood Dr
Hamilton, MT 59840
Medicare Provider Number
271340
Participating Start Date
4/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SALMON PHARMACY, LLC
Pharmacy Address
309 MAIN ST
SALMON, ID 83467-1256
Pharmacy Comments
Contract Details
Approval Date
4/19/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Bishop, CEO
(406) 375-4409
Contract Pharmacy Representative
Salmon Pharmacy, LLC
Kami Thimons, PIC
(208) 742-3784
Signed By Date
4/19/2021
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