340B Drug Pricing Program Database
MEDICINE MAN HAYDEN PHARMACY - information as of 5/27/2025 11:43:33 PM
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Name
MEDICINE MAN HAYDEN PHARMACY
Address
240 W HAYDEN AVE
HAYDEN, ID 83835-8194
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
CH108170
Dirne Health Centers, Inc.
Heritage Health CDA
HRSA-Funded Health Center
1090 W Park Pl
Coeur D Alene
ID
12/28/2022
12/28/2022 3:05 PM
Details
DSH130049
KOOTENAI HEALTH INC
KOOTENAI HEALTH
Disproportionate Share Hospital
2003 Kootenai Health Way
COEUR DALENE
ID
01/01/2023
08/20/2024
8/20/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
9/23/2021 4:33 PM
Details
Is Deleted
Insert
False
9/23/2021 4:33 PM
Addresses
Pharmacy Address
Insert
MEDICINE MAN HAYDEN PHARMACY 240 W HAYDEN AVE HAYDEN, ID 83835-8194
9/23/2021 4:33 PM
Details
Name
Insert
MEDICINE MAN HAYDEN PHARMACY
9/23/2021 4:33 PM
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