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ALBERTSONS LLC
FQHC638613 Blackfeet Tribal Health System
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Covered Entity Details
Entity Name
Blackfeet Tribal Health System
Subdivision Name
Blackfeet Tribal Public Health Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638613
Entity Address
215 2nd Street SW
Browning, MT 59417
Grant Number
Participating Start Date
7/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
OSCO PHARMACY #33
501 WEST MAIN STREET
CUT BANK, MT 59427
Pharmacy Comments
Contract Details
Approval Date
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rosaula Dacumos La PINE, FNP
(406) 338-2122
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/8/2024
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