340B Drug Pricing Program Database


MEDICINE MAN NORTH PHARMACY - information as of 5/13/2025 11:34:24 PM


MEDICINE MAN NORTH PHARMACY

INC DBA MEDICINE MAN PRAIRIE
8093 N CORNERSTONE DR
HAYDEN, ID 83835-8753



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH130049KOOTENAI HEALTH INCKOOTENAI HEALTHDisproportionate Share Hospital2003 Kootenai Health Way
COEUR DALENEID10/01/201404/01/20194/1/2019 12:05 AM
DetailsDSH130049KOOTENAI HEALTH INCKOOTENAI HEALTHDisproportionate Share Hospital2003 Kootenai Health Way
COEUR DALENEID07/01/202112/31/202212/31/2022 12:01 AM
DetailsRRC130049-00KOOTENAI HEALTH INC Rural Referral Center2003 KOOTENAI HEALTH WAY
COEUR DALENEID04/01/201907/01/20217/1/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE 8093 N CORNERSTONE DR HAYDEN, ID 83835-87531/10/2019 4:32 PM
AddressesPharmacy AddressInsert  MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY 8093 CORNERSTONE DR BOX 1706 HAYDEN, ID 83835-875312/7/2018 4:03 PM
AddressesPharmacy AddressUpdate MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY HAYDEN, ID 83835MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY 8093 CORNERSTONE DR BOX 1706 HAYDEN, ID 838353/28/2013 4:29 PM
DetailsCommentsUpdate   3/28/2013 4:29 PM
AddressesPharmacy AddressUpdate MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY 8093 CORNERSTONE DR BOX 1706 HAYDEN, ID 83835MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY HAYDEN, ID 838353/28/2013 4:29 PM
DetailsNameUpdate MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACYMEDICINE MAN NORTH PHARMACY3/28/2013 4:29 PM
AddressesPharmacy AddressUpdate Medicine Man Pharmacy, Inc. 8093 Cornerstone Drive HAYDEN, ID 83835MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY 8093 CORNERSTONE DR BOX 1706 HAYDEN, ID 838351/28/2013 3:35 PM
DetailsNameUpdate Medicine Man Pharmacy, Inc.MEDICINE MAN NORTH PHARMACY INC DBA MEDICINE MAN PRAIRIE PHARMACY1/28/2013 3:35 PM
DetailsCommentsInsert   1/15/2013 1:58 PM
DetailsIs DeletedInsert  False1/15/2013 1:58 PM