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VILLAGE DRUG
CAH271324-00 Logan Health - Conrad
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Covered Entity Details
Entity Name
Logan Health - Conrad
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271324-00
Entity Address
805 Sunset Blvd
Conrad, MT 59425
Medicare Provider Number
271324
Participating Start Date
10/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
VILLAGE DRUG
Pharmacy Address
600 S MAIN ST
CONRAD, MT 59425
Pharmacy Comments
Contract Details
Approval Date
8/18/2014
Contract Begin Date
9/9/2014
Carve-In Effective Date
Contract Comments
09/09/2014 Immediate Begin Date authorized
Contacts
Covered Entity Signing Official
William O'Leary, CEO
(406) 271-2200
Contract Pharmacy Representative
Village Drug
Brandon Utterback, Owner, Pharmacist in Charge
(406) 278-3267
Signed By Date
8/18/2014
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