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WALGREEN CO
SCH270012-00 BENEFIS HOSPITALS, INC.
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Covered Entity Details
Entity Name
BENEFIS HOSPITALS, INC.
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH270012-00
Entity Address
1101 26TH STREET SOUTH
GREAT FALLS, MT 59405
Medicare Provider Number
270012
Participating Start Date
1/1/2011
Last Recertification Date
8/23/2018
Entity Termination Date
1/1/2019
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #10083
2301 10TH AVE S
GREAT FALLS, MT 59405-2967
Pharmacy Comments
Contract Details
Approval Date
8/13/2012
Contract Begin Date
8/13/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Laura L. Goldhahn, President
(406) 455-5478
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
8/10/2012
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