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KMART PHARMACY
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
KMART PHARMACY
Pharmacy Address
1000 3RD STREET NW
GREAT FALLS, MT 59404
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Terry Olinger, President
(406) 455-5477
Contract Pharmacy Representative
Kmart
Jennifer Speares, Director Administration/Compliance
(904) 783-5183
Signed By Date
7/15/2016
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