340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
IDAHO STATE UNIVERSITY
CH100180 HEALTH WEST INC
Print
Covered Entity Details
Entity Name
HEALTH WEST INC
Subdivision Name
HEALTH WEST - ADMINISTRATION OFFICES
Type
HRSA-Funded Health Center
340B ID
CH100180
Entity Address
500 S 11th AVE
POCATELLO, ID 83201-4835
Grant Number
H80CS00321
Participating Start Date
4/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
IDAHO STATE UNIVERSITY
Pharmacy Address
BENGAL PHARMACY POCATELLO
990 S 8TH AVE STOP 8158
POCATELLO, ID 83209-8158
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mindy Benedetti, CEO
(208) 232-7862 Ext: 1120
Contract Pharmacy Representative
Idaho State University
Rikki Trussel, Manager
(208) 240-3041
Signed By Date
7/1/2021
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