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NEW ALBERTSONS INC #02023
CHC24102-00 BIGHORN VALLEY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
BIGHORN VALLEY HEALTH CENTER, INC
Subdivision Name
One Health - Bighorn
Type
HRSA-Funded Health Center
340B ID
CHC24102-00
Entity Address
10 West 4th Street STE B
Hardin, MT 59034-1804
Grant Number
H80CS24102
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NEW ALBERTSONS INC #02023
Pharmacy Address
DBA OSCO PHARMACY
307 NORTH HARMON
GLENDIVE, MT 59330
Pharmacy Comments
Contract Details
Approval Date
4/16/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/24/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
David A. Mark, Chief Executive Officer
(406) 665-4103
Contract Pharmacy Representative
SAFEWAY
Charles Hanson, 340B Program Manager
(208) 395-6304
Signed By Date
4/16/2021
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