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MONTANA CVS PHARMACY, L.L.C.
CAH271335-00 Community Hospital of Anaconda
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Covered Entity Details
Entity Name
Community Hospital of Anaconda
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271335-00
Entity Address
401 West Pennsylvania Street
Anaconda, MT 59711
Medicare Provider Number
271335
Participating Start Date
1/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MONTANA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08618
1300 E. PARK AVE.
ANACONDA, MT 59711
Pharmacy Comments
Contract Details
Approval Date
7/9/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Edwards Webb, Vice President Clinical Services
(406) 563-9036
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
7/9/2013
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