340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FAMILY PHARMACY
CAH271340-00 Marcus Daly Memorial Hospital Corp
Print
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
FAMILY PHARMACY
Pharmacy Address
3804 EASTSIDE HWY
STEVENSVILLE, MT 59870
Pharmacy Comments
Contract Details
Approval Date
4/11/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Bishop, CEO
(406) 375-4409
Contract Pharmacy Representative
Family Pharmacy
Levi Shypkowski, Owner
(406) 777-5002
Signed By Date
4/11/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session