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ALBERTSONS LLC
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
ALBERTSONS LLC
Pharmacy Address
OSCO PHARMACY #4040
1313 NORTH 1ST STREET
HAMILTON, MT 59840
Pharmacy Comments
Contract Details
Approval Date
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/5/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Donja C. Erdman, CFO
(406) 375-4609
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/5/2016
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