Pharmacy Details

TICE HEALTH MART - information as of 6/20/2025 12:07:00 AM

Name
TICE HEALTH MART

Address

618 OREGON ST
HIAWATHA, KS 66434-2231

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	CAH171341-00	Hiawatha Hospital Association, Inc		Critical Access Hospital	300 UTAH ST.		HIAWATHA	KS	02/01/2012	09/30/2021	10/4/2021 12:48 PM
Details	DSH260006	HEARTLAND REGIONAL MEDICAL CENTER		Disproportionate Share Hospital	5325 FARAON		ST. JOSEPH	MO	07/01/2020	10/01/2020	10/1/2020 12:01 AM
Details	SCH260006-00	HEARTLAND REGIONAL MEDICAL CENTER		Sole Community Hospital	5325 FARAON		ST. JOSEPH	MO	07/01/2016	07/01/2020	7/1/2020 12:01 AM
Details	SCH260006-00	HEARTLAND REGIONAL MEDICAL CENTER		Sole Community Hospital	5325 FARAON		ST. JOSEPH	MO	10/01/2020	07/26/2021	1/19/2022 9:33 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			TICE HEALTH MART 618 OREGON ST HIAWATHA, KS 66434-2231	10/10/2019 4:34 PM
Addresses	Pharmacy Address	Insert			TICE HEALTH MART 618 OREGON STREET HIAWATHA, KS 66434	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		HMRX Inc and Leland Hansen PTRS dba Tice Healthmart 618 Oregon Street Hiawatha, KS 66434	TICE HEALTH MART 618 OREGON STREET HIAWATHA, KS 66434	3/28/2013 4:22 PM
Details	Name	Update		HMRX Inc and Leland Hansen PTRS dba Tice Healthmart	TICE HEALTH MART	3/28/2013 4:22 PM
Details	Comments	Insert				1/24/2012 3:12 PM
Details	Is Deleted	Insert			False	1/24/2012 3:12 PM
Addresses	Pharmacy Address	Insert			HMRX Inc and Leland Hansen PTRS dba Tice Healthmart 618 Oregon Street Hiawatha, KS 66434	1/24/2012 3:12 PM
Details	Name	Insert			HMRX Inc and Leland Hansen PTRS dba Tice Healthmart	1/24/2012 3:12 PM