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NORTHTOWN DRUG
CAH271328-00 Logan Health - Shelby
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Covered Entity Details
Entity Name
Logan Health - Shelby
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271328-00
Entity Address
640 Park Ave
Shelby, MT 59474
Medicare Provider Number
271328
Participating Start Date
10/1/2012
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
NORTHTOWN DRUG
Pharmacy Address
ANN CLARK
100 MAIN ST
PO BOX 917
SHELBY, MT 59474-1906
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William David Gibson, Chief Legal Officer / Secretary
(406) 752-1724
Contract Pharmacy Representative
Northtown
Ann Clark, Pharmacist
(406) 434-5115
Signed By Date
7/11/2024
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