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SMITH'S PHARMACY # 168
CAH271336-00 Logan Health - Whitefish
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Covered Entity Details
Entity Name
Logan Health - Whitefish
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271336-00
Entity Address
1600 HOSPITAL WAY
WHITEFISH, MT 59937-2990
Medicare Provider Number
271336
Participating Start Date
7/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY # 168
Pharmacy Address
419 NUCLEUS AVE.
PO BOX 159
COLUMBIA FALLS, MT 59912
Pharmacy Comments
Contract Details
Approval Date
1/5/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randy Nightengale, Chief Financial Officer
(406) 863-9826
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
1/5/2016
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