Pharmacy Details

MEDICAL PHARMACY MOORHEAD AZOOL - information as of 4/30/2025 11:07:27 PM

Name
MEDICAL PHARMACY MOORHEAD AZOOL

Address

950 40TH AVE S STE 103
MOORHEAD, MN 56560

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH350011	SANFORD MEDICAL CENTER FARGO		Disproportionate Share Hospital	801 BROADWAY NORTH		FARGO	ND	10/01/2017		7/25/2017 1:38 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560	MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S STE 103 MOORHEAD, MN 56560	12/30/2022 1:32 PM
Addresses	Pharmacy Address	Update		MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560	MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560	10/13/2021 10:55 AM
Addresses	Pharmacy Address	Insert			MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560-6170	12/19/2019 2:14 PM
Addresses	Pharmacy Address	Insert			MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		MEDICAL PHARMACY MOORHEAD AZOOL MEDICAL PHARMACY MOORHEAD, INC 950 40TH AVE S MOORHEAD, MN 56560	MEDICAL PHARMACY MOORHEAD AZOOL 950 40TH AVE S MOORHEAD, MN 56560	8/2/2017 8:15 AM
Details	Comments	Insert				3/7/2017 11:01 AM
Details	Is Deleted	Insert			False	3/7/2017 11:01 AM
Addresses	Pharmacy Address	Insert			MEDICAL PHARMACY MOORHEAD AZOOL MEDICAL PHARMACY MOORHEAD, INC 950 40TH AVE S MOORHEAD, MN 56560	3/7/2017 11:01 AM
Details	Name	Insert			MEDICAL PHARMACY MOORHEAD AZOOL	3/7/2017 11:01 AM