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FAMILY PHARMACY
CHC28359-00 SAPPHIRE COMMUNITY HEALTH, INC.
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Covered Entity Details
Entity Name
SAPPHIRE COMMUNITY HEALTH, INC.
Subdivision Name
Sapphire Community Health
Type
HRSA-Funded Health Center
340B ID
CHC28359-00
Entity Address
316 N.3rd St.
Hamilton, MT 59840-2405
Grant Number
H80CS28359
Participating Start Date
4/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
FAMILY PHARMACY
Pharmacy Address
3804 EASTSIDE HWY
STEVENSVILLE, MT 59870
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janet Woodburn, Interim Chief Executive Officer
(406) 541-0475
Contract Pharmacy Representative
Family Pharmacy
Levi Shypkowski, Owner
(406) 777-5002
Signed By Date
7/12/2023
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