Pharmacy Details

SAFEWAY INC - information as of 4/28/2025 1:07:36 AM

Name
SAFEWAY INC

Address

SAFEWAY PHARMACY #1470
121 W NEIDER AVENUE
COEUR D ALENE, ID 83815

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	07/01/2015		4/14/2015 7:44 PM
Details	DSH130049	KOOTENAI HEALTH INC	KOOTENAI HEALTH	Disproportionate Share Hospital	2003 Kootenai Health Way		COEUR DALENE	ID	10/01/2014	04/01/2019	4/1/2019 12:05 AM
Details	RRC130049-00	KOOTENAI HOSPITAL DISTRICT		Rural Referral Center	2003 KOOTENAI HEALTH WAY		COEUR DALENE	ID	04/01/2019	04/01/2020	4/16/2020 5:39 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SAFEWAY INC SAFEWAY PHARMACY #1470 121 W NEIDER AVENUE COEUR D ALENE, ID 83815	10/24/2018 8:18 AM
Addresses	Pharmacy Address	Insert			SAFEWAY INC SAFEWAY PHARMACY #1470 121 NEIDER AVENUE COEUR D'ALENE, ID 83814	2/1/2018 4:14 PM
Details	Name	Update		SAFEWAY PHARMACY #1470	SAFEWAY INC	2/1/2018 4:14 PM
Addresses	Pharmacy Address	Insert			SAFEWAY PHARMACY #1470 121 NEIDER AVENUE COEUR D'ALENE, ID 83814	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		SAFEWAY PHARMACY 121 NEIDER AVENUE COEUR D'ALENE, ID 83814	SAFEWAY PHARMACY #1470 121 NEIDER AVENUE COEUR D'ALENE, ID 83814	3/16/2015 10:36 AM
Details	Name	Update		SAFEWAY PHARMACY	SAFEWAY PHARMACY #1470	3/16/2015 10:36 AM
Details	Comments	Insert				3/28/2013 4:28 PM
Details	Is Deleted	Insert			False	3/28/2013 4:28 PM
Addresses	Pharmacy Address	Insert			SAFEWAY PHARMACY 121 NEIDER AVENUE COEUR D'ALENE, ID 83814	3/28/2013 4:28 PM
Details	Name	Insert			SAFEWAY PHARMACY	3/28/2013 4:28 PM