340B Drug Pricing Program Database

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MEDICINE MAN NORTH PHARMACY
DSH130049 KOOTENAI HEALTH INC

Covered Entity Details

KOOTENAI HEALTH
Disproportionate Share Hospital
DSH130049
2003 Kootenai Health Way
COEUR DALENE, ID 83814
130049
7/1/2021
8/20/2024
7/1/2025


Pharmacy Details

MEDICINE MAN NORTH PHARMACY
305 W KATHLEEN AVE
COEUR D ALENE, ID 83815

Contract Details

10/12/2022
1/1/2023

8/20/2024
Business decision by covered entity and/or pharmacy


Contacts


Kim Webb, CFO
(208) 625-4001



Medicine Man North Pharmacy Inc
Korey Kreider, Pharmacy Owner
(208) 762-9355
10/12/2022