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YELLOWSTONE PHARMACY
CAH271327-00 Rosebud Community Hospital, Inc. dba Rosebud Health Care Center
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Covered Entity Details
Entity Name
Rosebud Community Hospital, Inc. dba Rosebud Health Care Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271327-00
Entity Address
383 17th Ave N
Forsyth, MT 59327
Medicare Provider Number
271327
Participating Start Date
4/1/2014
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
YELLOWSTONE PHARMACY
Pharmacy Address
PIC: NEIL W. DONNER
1025 MAIN STREET
P.O. BOX 289
FORSYTH, MT 59327
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Ownership change
Contacts
Covered Entity Signing Official
Ryan Tooke, CEO
(406) 346-2161 Ext: 223
Contract Pharmacy Representative
Yellowstone Pharmacy of Forsyth LLC
Sharon Donner, Pharmacy Director
(406) 346-2131
Signed By Date
4/13/2015
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