340B Drug Pricing Program Database

Pharmacy Name

INTERMOUNTAIN PHARMACY #12

Pharmacy Address

1233 N 30TH ST
STE W103
BILLINGS, MT 59101

Pharmacy Comments

Approval Date

4/28/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Pam Palagi, VP Financial Services
(406) 723-2414

Contract Pharmacy Representative

Intermountain Healthcare
Carrie Dunford, Chief Pharmacy Officer
(801) 284-1004

Signed By Date

4/14/2025