Pharmacy Details

SHOPKO PHARMACY #2073 - information as of 6/13/2025 3:20:25 PM

Name
SHOPKO PHARMACY #2073

Address

2530 RUDKIN ROAD
UNION GAP, WA 98903

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	CAH501333-00	KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1		Critical Access Hospital	603 S CHESTNUT ST		ELLENSBURG	WA	04/01/2018	07/02/2018	7/2/2018 12:42 PM
Details	CH101340	YAKIMA NEIGHBORHOOD HEALTH SERVICES		HRSA-Funded Health Center	12 SOUTH 8TH STREET		YAKIMA	WA	07/01/2017	01/08/2019	7/20/2019 2:17 PM
Details	DSH500036	YAKIMA VALLEY MEMORIAL HOSPITAL		Disproportionate Share Hospital	2811 TIETON DR.		YAKIMA	WA	01/01/2018	02/11/2019	3/1/2019 3:24 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2073 2530 RUDKIN ROAD UNION GAP, WA 98903	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:35 PM
Details	Is Deleted	Insert			False	3/28/2013 4:35 PM
Addresses	Pharmacy Address	Insert			SHOPKO PHARMACY #2073 2530 RUDKIN ROAD UNION GAP, WA 98903	3/28/2013 4:35 PM
Details	Name	Insert			SHOPKO PHARMACY #2073	3/28/2013 4:35 PM