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VANS PHARMACY
CAH271318-00 Barrett Hospital Development Corporation
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Covered Entity Details
Entity Name
Barrett Hospital Development Corporation
Subdivision Name
BARRETT HOSPITAL & HEALTHCARE
Type
Critical Access Hospital
340B ID
CAH271318-00
Entity Address
600 MT Highway 91 South
DILLON, MT 59725-7379
Medicare Provider Number
271318
Participating Start Date
1/1/2014
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
VANS PHARMACY
Pharmacy Address
ATTN: BONNIE R. REBISH, RPH, PHARMACIST
110 SOUTHSIDE BOULEVARD
DILLON, MT 59725
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RICHARD ACHTER, CHIEF FINANCIAL OFFICER
(406) 683-3003
Contract Pharmacy Representative
Angel Smith, Person in Charge
(406) 988-7121
Signed By Date
1/15/2014
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