340B Drug Pricing Program Database
IDAHO CVS PHARMACY, L.L.C. - information as of 4/25/2025 9:41:18 PM
Export
Name
IDAHO CVS PHARMACY, L.L.C.
Address
CVS/PHARMACY # 11169
7402 WEST FAIRVIEW AVE
BOISE, ID 83704
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
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
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
11/14/2018 3:11 PM
Details
Is Deleted
Insert
False
11/14/2018 3:11 PM
Addresses
Pharmacy Address
Insert
IDAHO CVS PHARMACY, L.L.C. CVS/PHARMACY # 11169 7402 WEST FAIRVIEW AVE BOISE, ID 83704
11/14/2018 3:11 PM
Details
Name
Insert
IDAHO CVS PHARMACY, L.L.C.
11/14/2018 3:11 PM
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