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LEE AND DADS GROCERY, INC
CH08499J COMMUNITY HEALTH PARTNERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH PARTNERS, INC.
Subdivision Name
CHP-Bozeman Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH08499J
Entity Address
120 N 19TH AVE
BOZEMAN, MT 59718-3911
Grant Number
H80CS00736
Participating Start Date
7/1/2013
Last Recertification Date
2/9/2022
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
LEE AND DADS GROCERY, INC
Pharmacy Address
DBA TOWN AND COUNTRY FOODS
205 W MADISON AVE
BELGRADE, MT 59714
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rebecca Hale, CFO
(406) 823-6301
Contract Pharmacy Representative
Lee and Dads Grocery, Inc DBA: Town & Country Foods
Emily Wallace, Pharmacist-in-Charge
(406) 388-4111
Signed By Date
4/13/2018
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