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GARY AND LEO'S, INC
DSH270032 NORTHERN MONTANA HOSPITAL
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Covered Entity Details
Entity Name
NORTHERN MONTANA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH270032
Entity Address
30-13TH STREET
HAVRE, MT 59501
Medicare Provider Number
270032
Participating Start Date
10/1/2009
Last Recertification Date
9/5/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
GARY AND LEO'S, INC
Pharmacy Address
DBA GARY & LEO'S PHARMACY
730 1ST ST
HAVRE, MT 59501-3702
Pharmacy Comments
2/18/11 UPDATED ADDR (WAS CITY: HARVE ZIP: 69501)
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christen Obresley, VP, Regulatory Community Services
(406) 262-1420
Contract Pharmacy Representative
Northern Montana Hospital
Claridale Paunel Flynn, Director of Pharmacy
(406) 262-1250
Signed By Date
10/17/2022
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