Pharmacy Details

SHOPKO PHARMACY #2093 - information as of 6/9/2025 11:06:36 PM

Name
SHOPKO PHARMACY #2093

Address

60 NE BEND RIVER MALL AVE
BEND, OR 97701

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	CH105600	Mosaic Community Health	Madras Health Center	HRSA-Funded Health Center	500 NE A St Ste 100		Madras	OR	07/01/2017	11/28/2018	11/28/2018 6:03 PM
Details	DSH380047	St. Charles Health System, Inc., d/b/a St. Charles Bend		Disproportionate Share Hospital	2500 NE NEFF ROAD		BEND	OR	10/01/2017	11/28/2018	12/17/2018 6:28 PM
Details	SCH380040-00	St. Charles Health System, Inc., d/b/a St. Charles Redmond		Sole Community Hospital	1253 NW Canal Blvd		Redmond	OR	10/01/2017	11/28/2018	12/17/2018 6:28 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2093 60 NE BEND RIVER MALL AVE BEND, OR 97701	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:34 PM
Details	Is Deleted	Insert			False	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2093 60 NE BEND RIVER MALL AVE BEND, OR 97701	3/28/2013 4:34 PM
Details	Name	Insert			SHOPKO PHARMACY #2093	3/28/2013 4:34 PM