Pharmacy Details

ALBERTSONS LLC - information as of 6/12/2025 6:14:26 AM

Name
ALBERTSONS LLC

Address

SAV-ON PHARMACY #176
2400 12TH AVENUE RD
NAMPA, ID 83686

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	CH100160	COMMUNITY HEALTH CLINICS, INC.	TERRY REILLY HEALTH SERVICES	HRSA-Funded Health Center	211 16th Ave N		Nampa	ID	04/01/2017		1/23/2017 6:46 PM
Details	CHC26601-00	Full Circle Health, Inc.	Full Circle Health - Meridian	HRSA-Funded Health Center	2275 S Eagle Rd STE 120		Meridian	ID	04/01/2017		1/17/2017 3:09 PM
Details	DSH130006	ST LUKES REGIONAL MEDICAL CENTER, LTD.		Disproportionate Share Hospital	190 EAST BANNOCK		BOISE	ID	10/01/2017		10/1/2017 12:00 AM
Details	DSH130007	Saint Alphonsus Regional Medical Center		Disproportionate Share Hospital	1055 N. Curtis Rd.		Boise	ID	04/01/2017	02/01/2024	4/5/2024 2:11 PM
Details	DSH130013	Saint Alphonsus Medical Center Nampa		Disproportionate Share Hospital	4300 East Flamingo Ave		NAMPA	ID	04/01/2017	03/08/2018	3/8/2018 4:51 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			ALBERTSONS LLC SAV-ON PHARMACY #176 2400 12TH AVENUE RD NAMPA, ID 83686	5/29/2019 5:25 PM
Details	Name	Update		ALBERTSON'S LLC	ALBERTSONS LLC	5/29/2019 5:25 PM
Addresses	Pharmacy Address	Update		ALBERTSON'S LLC DBA SAV-ON PHARMACY #176 2400 12TH AVENUE RD NAMPA, ID 83686	ALBERTSON'S LLC SAV-ON PHARMACY #176 2400 12TH AVENUE RD NAMPA, ID 83686	6/13/2016 4:05 PM
Details	Name	Update		ALBERTSON'S LLC DBA SAV-ON PHARMACY #176	ALBERTSON'S LLC	6/13/2016 4:05 PM
Details	Comments	Insert				3/28/2013 4:28 PM
Details	Is Deleted	Insert			False	3/28/2013 4:28 PM
Addresses	Pharmacy Address	Insert			ALBERTSON'S LLC DBA SAV-ON PHARMACY #176 2400 12TH AVENUE RD NAMPA, ID 83686	3/28/2013 4:28 PM
Details	Name	Insert			ALBERTSON'S LLC DBA SAV-ON PHARMACY #176	3/28/2013 4:28 PM