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ALBERTSONS LLC
CHC24102-01 BIGHORN VALLEY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
BIGHORN VALLEY HEALTH CENTER, INC
Subdivision Name
One Health - Ashland
Type
HRSA-Funded Health Center
340B ID
CHC24102-01
Entity Address
501 Main St
Ashland, MT 59003-7701
Grant Number
H80CS24102
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ALBERTSONS LLC
Pharmacy Address
OSCO PHARMACY #4023
307 NORTH HARMON
GLENDIVE, MT 59330
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
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
4/15/2025
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