340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WELL LIFE BOUNDARY PHARMACY
CH106300 BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
BOUNDARY REGIONAL CHC
Type
HRSA-Funded Health Center
340B ID
CH106300
Entity Address
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Grant Number
H80CS00302
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WELL LIFE BOUNDARY PHARMACY
Pharmacy Address
6603 MAIN STREET
BONNERS FERRY, ID 83805
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/24/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VICTORIA McCLELLAN KING, CEO
(208) 263-7101 Ext: 2202
Contract Pharmacy Representative
Jeff Foster, Owner
(208) 267-4004
Signed By Date
7/11/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session