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WAL-MART PHARMACY 10-1901
CH08327L BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC
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Covered Entity Details
Entity Name
BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC
Subdivision Name
Anaconda Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH08327L
Entity Address
110 Oak St
Anaconda, MT 59711-2335
Grant Number
H80CS00799
Participating Start Date
4/1/2019
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1901
Pharmacy Address
3901 HARRISON AVENUE
BUTTE, MT 59701
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele K Davis, CFO
(406) 496-6025
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/16/2023
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