Pharmacy Details

IDAHO CVS PHARMACY, L.L.C. - information as of 4/25/2025 8:36:25 PM

Name
IDAHO CVS PHARMACY, L.L.C.

Address

CVS PHARMACY # 17284
16300 N MARKET PLACE BLVD
NAMPA, ID 83687

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	CH100160	COMMUNITY HEALTH CLINICS, INC.	TERRY REILLY HEALTH SERVICES	HRSA-Funded Health Center	211 16th Ave N		Nampa	ID	04/01/2022		4/1/2022 12:01 AM
Details	CH105600	Mosaic Community Health	Madras Health Center	HRSA-Funded Health Center	500 NE A St Ste 100		Madras	OR	07/01/2021		7/1/2021 12:01 AM
Details	CHC26601-00	Full Circle Health, Inc.	Full Circle Health - Meridian	HRSA-Funded Health Center	2275 S Eagle Rd STE 120		Meridian	ID	04/01/2023		4/1/2023 12:01 AM
Details	DSH130006	ST LUKES REGIONAL MEDICAL CENTER, LTD.		Disproportionate Share Hospital	190 EAST BANNOCK		BOISE	ID	07/01/2020		7/1/2020 12:01 AM
Details	DSH130071	St. Luke's Nampa Medical Center		Disproportionate Share Hospital	9850 W ST LUKES DRIVE		Nampa	ID	01/01/2021		1/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		IDAHO CVS PHARMACY, L.L.C. TARGET PHARMACY # 17284 16300 N MARKET PLACE BLVD NAMPA, ID 83687	IDAHO CVS PHARMACY, L.L.C. CVS PHARMACY # 17284 16300 N MARKET PLACE BLVD NAMPA, ID 83687	5/25/2016 12:21 PM
Details	Comments	Insert				2/5/2016 2:36 PM
Details	Is Deleted	Insert			False	2/5/2016 2:36 PM
Addresses	Pharmacy Address	Insert			IDAHO CVS PHARMACY, L.L.C. TARGET PHARMACY # 17284 16300 N MARKET PLACE BLVD NAMPA, ID 83687	2/5/2016 2:36 PM
Details	Name	Insert			IDAHO CVS PHARMACY, L.L.C.	2/5/2016 2:36 PM