Pharmacy Details

ALBERTSONS LLC - information as of 5/27/2025 2:54:17 PM

Name
ALBERTSONS LLC

Address

SAFEWAY PHARMACY #254
161 W PRAIRIE AVE
HAYDEN, ID 83835

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	DSH130049	KOOTENAI HEALTH INC	KOOTENAI HEALTH	Disproportionate Share Hospital	2003 Kootenai Health Way		COEUR DALENE	ID	10/01/2016	04/01/2019	4/1/2019 12:05 AM
Details	RRC130049-00	KOOTENAI HEALTH INC		Rural Referral Center	2003 KOOTENAI HEALTH WAY		COEUR DALENE	ID	04/01/2019	04/01/2020	4/16/2020 5:41 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		ALBERTSONS LLC SAV-ON PHARMACY #254 161 W PRAIRIE AVE HAYDEN, ID 83835	ALBERTSONS LLC SAFEWAY PHARMACY #254 161 W PRAIRIE AVE HAYDEN, ID 83835	3/15/2024 4:56 PM
Addresses	Pharmacy Address	Insert			ALBERTSONS LLC SAV-ON PHARMACY #254 161 W PRAIRIE AVE HAYDEN, ID 83835	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 #254 161 W PRAIRIE AVE HAYDEN, ID 83835	ALBERTSON'S LLC SAV-ON PHARMACY #254 161 W PRAIRIE AVE HAYDEN, ID 83835	6/13/2016 4:05 PM
Details	Name	Update		ALBERTSON'S LLC DBA SAV-ON PHARMACY #254	ALBERTSON'S LLC	6/13/2016 4:05 PM
Addresses	Pharmacy Address	Update		ALBERTSON'S LLC DBA SAV-ON PHARMACY #254 197 W. PRAIRIE AVE HAYDEN, ID 83835	ALBERTSON'S LLC DBA SAV-ON PHARMACY #254 161 W PRAIRIE AVE HAYDEN, ID 83835	4/12/2013 12:34 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 #254 197 W. PRAIRIE AVE HAYDEN, ID 83835	3/28/2013 4:28 PM
Details	Name	Insert			ALBERTSON'S LLC DBA SAV-ON PHARMACY #254	3/28/2013 4:28 PM