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VALLEY DRUG
CAH271340-00 Marcus Daly Memorial Hospital Corp
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Covered Entity Details
Entity Name
Marcus Daly Memorial Hospital Corp
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271340-00
Entity Address
1200 Westwood Dr
Hamilton, MT 59840
Medicare Provider Number
271340
Participating Start Date
4/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
VALLEY DRUG
Pharmacy Address
301 MAIN STREET
STEVENSVILLE, MT 59870
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2016
Ownership change
Contacts
Covered Entity Signing Official
Donja C. Erdman, CFO
(406) 375-4609
Contract Pharmacy Representative
Dan Severson, President
(406) 777-5591
Signed By Date
10/11/2013
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