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HOSPITAL PHARMACY
CHC24102-09 BIGHORN VALLEY HEALTH CENTER INC
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Covered Entity Details
Entity Name
BIGHORN VALLEY HEALTH CENTER INC
Subdivision Name
One Health - Sheridan
Type
HRSA-Funded Health Center
340B ID
CHC24102-09
Entity Address
201 E 5th St
Sheridan, WY 82801-3658
Grant Number
H80CS24102
Participating Start Date
10/1/2022
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOSPITAL PHARMACY
Pharmacy Address
1 S MAIN ST
SHERIDAN, WY 82801-4221
Pharmacy Comments
Contract Details
Approval Date
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David A. Mark, Chief Executive Officer
(406) 665-4103
Contract Pharmacy Representative
Hospital Pharmacy West
Christopher J Meyer, Pharmacist
(307) 673-3188
Signed By Date
10/15/2023
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