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CHESTER PHARMACY INC
CAH271334-00 Liberty County Hospital and Nursing Home, Inc
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Covered Entity Details
Entity Name
Liberty County Hospital and Nursing Home, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271334-00
Entity Address
315 West Madison Avenue
Chester, MT 59522-0705
Medicare Provider Number
271334
Participating Start Date
7/1/2014
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
CHESTER PHARMACY INC
Pharmacy Address
ATTN: KURT ROBERT MATKIN, PERSON IN CHAR
30 MAIN ST
CHESTER, MT 59522-7816
Pharmacy Comments
Contract Details
Approval Date
7/7/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shari Dolan, Chief Financial Officer
(406) 759-5181 Ext: 5964
Contract Pharmacy Representative
Kelcey Diemert, Owner
(406) 759-5050
Signed By Date
7/7/2014
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