Pharmacy Details

MULTICARE BONNEY LAKE PHARMACY - information as of 4/25/2025 8:52:11 PM

Name
MULTICARE BONNEY LAKE PHARMACY

Address

10004 204TH AVE E, STE 1100
BONNEY LAKE, WA 98391

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	DSH500015	MULTICARE AUBURN MEDICAL CENTER		Disproportionate Share Hospital	202 NORTH DIVISION STREET		AUBURN	WA	04/21/2020		4/21/2020 12:17 PM
Details	DSH500079	GOOD SAMARITAN HOSPITAL		Disproportionate Share Hospital	401 15th Avenue SE		PUYALLUP	WA	01/01/2022		1/1/2022 2:45 PM
Details	DSH500129	TACOMA GENERAL/ALLENMORE HOSPITAL		Disproportionate Share Hospital	315 MARTIN LUTHER KING JR WAY		TACOMA	WA	04/21/2020		4/21/2020 12:50 PM
Details	PED503301-00	Mary Bridge Children's Hospital and Health Center		Children's Hospital	317 Martin Luther King Jr Way		Tacoma	WA	04/21/2020		4/21/2020 1:06 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391	MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E, STE 1100 BONNEY LAKE, WA 98391	8/16/2022 5:33 PM
Addresses	Pharmacy Address	Update		MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391	MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391	10/13/2021 10:55 AM
Addresses	Pharmacy Address	Insert			MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391-6539	1/27/2020 10:35 AM
Addresses	Pharmacy Address	Insert			MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:34 PM
Details	Is Deleted	Insert			False	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Insert			MULTICARE BONNEY LAKE PHARMACY 10004 204TH AVE E BONNEY LAKE, WA 98391	3/28/2013 4:34 PM
Details	Name	Insert			MULTICARE BONNEY LAKE PHARMACY	3/28/2013 4:34 PM