340B Drug Pricing Program Database
ISU BENGAL PHARMACY CHUBBUCK - information as of 5/9/2025 1:18:04 AM
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Name
ISU BENGAL PHARMACY CHUBBUCK
Address
4914 YELLOWSTONE AVE STE A
CHUBBUCK, ID 83202
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
CH100180
HEALTH WEST INC
HEALTH WEST - ADMINISTRATION OFFICES
HRSA-Funded Health Center
500 S 11th AVE
POCATELLO
ID
10/01/2024
10/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
4/2/2024 5:04 PM
Details
Is Deleted
Insert
False
4/2/2024 5:04 PM
Addresses
Pharmacy Address
Insert
ISU BENGAL PHARMACY CHUBBUCK 4914 YELLOWSTONE AVE STE A CHUBBUCK, ID 83202
4/2/2024 5:04 PM
Details
Name
Insert
ISU BENGAL PHARMACY CHUBBUCK
4/2/2024 5:04 PM
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