Contract Pharmacy Details

DRISCOLL DRUG
CH083270 BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC

Covered Entity Details

Entity Name

BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC, INC

Subdivision Name

BUTTE-SILVER BOW PRIMARY HEALTH CARE

Type

HRSA-Funded Health Center

340B ID

CH083270

Entity Address

445 Centennial Ave.
Butte, MT 59701-2870

Grant Number

H80CS00799

Participating Start Date

7/1/1998

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

DRISCOLL DRUG

Pharmacy Address

327 S EXCELSIOR AVE
BUTTE, MT 59701-1536

Pharmacy Comments

Contract Details

Approval Date

7/8/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/6/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jessica Hoff, CEO
(406) 723-4075 Ext: 275

Contract Pharmacy Representative

Chad O'Connell, Owner
(406) 723-3308

Signed By Date

7/8/2014

340B Drug Pricing Program Database