Pharmacy Details

SHOPKO PHARMACY #2766 - information as of 5/24/2025 11:32:27 PM

Name
SHOPKO PHARMACY #2766

Address

1950 W ROOSEVELT HWY
SHELBY, MT 59474

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	CHC29012-00	MARIAS HEALTHCARE SERVICES INC	Marias Healthcare Services Inc - Shelby	HRSA-Funded Health Center	1950 W Roosevelt Hwy		SHELBY	MT	10/01/2016	02/28/2019	3/5/2019 11:33 AM
Details	CHC29012-01	MARIAS HEALTHCARE SERVICES INC	Marias Healthcare Services - Sunburst	HRSA-Funded Health Center	13 1st St South		Sunburst	MT	10/01/2016	02/28/2019	3/5/2019 12:07 PM
Details	CHC29012-02	MARIAS HEALTHCARE SERVICES INC	Marias Healthcare Services - Valier	HRSA-Funded Health Center	422 Montana		Valier	MT	10/01/2016	02/28/2019	3/5/2019 12:07 PM
Details	CHC29012-03	MARIAS HEALTHCARE SERVICES INC	Marias Healthcare Services - Dentistry	HRSA-Funded Health Center	865 OILFIELD AVE		SHELBY	MT	10/01/2016	02/28/2019	3/5/2019 12:07 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2766 1950 W ROOSEVELT HWY SHELBY, MT 59474	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:20 PM
Details	Is Deleted	Insert			False	3/28/2013 4:20 PM
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2766 1950 W ROOSEVELT HWY SHELBY, MT 59474	3/28/2013 4:20 PM
Details	Name	Insert			SHOPKO PHARMACY #2766	3/28/2013 4:20 PM