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MINERAL DRUG, INC DBA MINERAL PHARMACY
CAH271331-00 MINERAL COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
MINERAL COMMUNITY HOSPITAL
Subdivision Name
DBA Mineral Community Hospital
Type
Critical Access Hospital
340B ID
CAH271331-00
Entity Address
1208 6TH AVE EAST
SUPERIOR, MT 59872
Medicare Provider Number
271331
Participating Start Date
10/1/2019
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MINERAL DRUG, INC DBA MINERAL PHARMACY
Pharmacy Address
207 RIVER ST
PO BOX 1157
SUPERIOR, MT 59872
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laurel Chambers Haskins, CEO
(406) 822-4841 Ext: 155
Contract Pharmacy Representative
MIneral Pharmacy
Andrea Holmes, OWNER
(406) 822-4681
Signed By Date
4/13/2022
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