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ALBERTSONS LLC
CHC24102-21 BIGHORN VALLEY HEALTH CENTER INC
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Covered Entity Details
Entity Name
BIGHORN VALLEY HEALTH CENTER INC
Subdivision Name
One Health - Mobile Medical Van
Type
HRSA-Funded Health Center
340B ID
CHC24102-21
Entity Address
128 N Bent St
Powell, WY 82435-2712
Grant Number
H80CS24102
Participating Start Date
1/1/2025
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
OSCO PHARMACY #19
117 WEST JANEAUX
LEWISTOWN, MT 59457
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David A. Mark, Chief Executive Officer
(406) 665-4103
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/4/2024
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