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KC'S WESTERN DRUG INC
CAH271317-00 Livingston Healthcare
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Covered Entity Details
Entity Name
Livingston Healthcare
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271317-00
Entity Address
320 Alpenglow Lane
Livingston, MT 59047
Medicare Provider Number
271317
Participating Start Date
1/1/2012
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
KC'S WESTERN DRUG INC
Pharmacy Address
WESTERN DRUG
1313 W PARK ST
LIVINGSTON, MT 59047
Pharmacy Comments
Contract Details
Approval Date
4/22/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/6/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Bren Lowe, CEO
(406) 823-3541 Ext: 6411
Contract Pharmacy Representative
Livingston HealthCare
Debra Anczak, CEO
(406) 823-6411
Signed By Date
4/22/2013
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