Rural referral center · ID
KOOTENAI HEALTH INC
$812,587,044Net patient revenueWhat the hospital took in for treating patients, after discounts.
-18.6%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
0.6%Charity careCare given free or discounted, as a share of what patients brought in.
1.8%Uncompensated careCharity care plus bills that went unpaid, on the same basis.
From this hospital’s Medicare cost report for the year ended 31 December 2024. Every figure on this page names the cell it came from.
- 55Registered locations
- 5Associated locations
- 153Contract pharmacies
- 57With no end date
- 1 July 2025In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 31 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $812,587,044 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $963,471,468 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$150,884,424 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $14,287,783 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $4,916,131 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $30,437,172 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $14,610,832 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 317 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3175 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 130049 for 1 January 2024 to 31 December 2024, as submitted. The public file it was read from.
Among hospitals of the same type in Idaho
No other rural referral center in Idaho has both figures on file, so there is nothing here to read this hospital against.
Earlier years
One cost report is on file for this hospital, for the year ended 31 December 2024. There is no earlier year to set beside it.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “KOOTENAI HEALTH INC” (340B ID RRC130049-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RRC130049-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2025
- Certification date
- 20 August 2026
- Record last edited
- 20 August 2026
Identifiers
- 340B ID
- RRC130049-00
- Entity type as filed
- RRC
- CMS certification number
- 130049
- Rural
- No
2003 KOOTENAI HEALTH WAY, COEUR DALENE ID 83814
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| RRC130049-01 | KOOTENAI CANCER CENTER-COEUR D' ALENE | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-02 | KOOTENAI CANCER CENTER-POST FALLS | RRC | POST FALLS, ID | TRUE |
| RRC130049-03 | KOOTENAI CANCER CENTER-SANDPOINT | RRC | SANDPOINT, ID | TRUE |
| RRC130049-13 | KOOTENAI CLINIC VASCULARY SURGERY - VASCULAR | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-14 | KOOTENAI CLINIC - SLEEP MEDICINE - SLEEP | RRC | COEUR D' ALENE, ID | FALSE |
| RRC130049-15 | KOOTENAI CLINIC NEPHROLOGY - NEPHROLOGY | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-16 | KOOTENAI CLINIC PLASTIC AND RECONSTRUCTIVE SURGERY - DERMATOLOGY - RECONSTRUCTIVE SURGERY AND DERMATOLOGY | RRC | Coeur d'Alene, ID | TRUE |
| RRC130049-17 | KOOTENAI CLINIC DIABETES AND ENDOCRINOLOGY - DIABETES AND ENDOCRINOLOGY | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-19 | KOOTENAI CLINIC GENERAL SURGERY - GENERAL SURGERY | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-20 | KOOTENAI CLINIC PSYCHIATRY - PSYCHIATRY | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-21 | KOOTENAI CLINIC GASTROENTEROLOGY - GASTROENTEROLOGY | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-22 | KOOTENAI CLINIC RHEUMATOLOGY - RHEUMATOLOGY | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-23 | KOOTENAI CLINIC NEUROSURGERY - NEUROSURGERY | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-24 | KOOTENAI CLINIC WOUND CARE AND INFECTIOUS DISEASE - Wound Care, Infectious Disease | RRC | Coeur d'Alene, ID | TRUE |
| RRC130049-25 | KOOTENAI CLINIC OBSTETRICS & GYNECOLOGY - OBSTETRICS & GYNECOLOGY | RRC | POST FALLS, ID | TRUE |
| RRC130049-26 | KOOTENAI CLINIC - ORTHOPEDICS POST FALLS - ORTHOPEDICS | RRC | POST FALLS, ID | TRUE |
| RRC130049-27 | KOOTENAI CLINIC EAR NOSE THROAT & ALLERGY - ENT | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-28 | KOOTENAI HEART CLINICS - CARDIOLOGY | RRC | POST FALLS, ID | TRUE |
| RRC130049-29 | KOOTENAI CLINIC FAMILY MEDICINE - FAMILY MEDICINE | RRC | Coeur d'Alene, ID | TRUE |
| RRC130049-30 | KOOTENAI CLINIC FAMILY MEDICINE - FAMILY MEDICINE | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-31 | KOOTENAI CLINIC FAMILY MEDICINE - FAMILY MEDICINE | RRC | POST FALLS, ID | TRUE |
| RRC130049-32 | KOOTENAI CLINIC INTERNAL MEDICINE - INTERNAL MEDICINE | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-33 | KOOTENAI HEART CLINICS NORTHWEST - CARDIOLOGY | RRC | SPOKANE VALLEY, WA | FALSE |
| RRC130049-34 | KOOTENAI CLINIC NEUROLOGY - NEUROLOGY | RRC | Coeur d'Alene, ID | TRUE |
| RRC130049-35 | KOOTENAI HEART CLINICS NORTHWEST - CARDIOLOGY | RRC | SPOKANE, WA | FALSE |
| RRC130049-36 | KOOTENAI CLINIC CANCER SERVICES - Infusion Center | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-37 | KOOTENAI HEART CLINICS NORTHWEST - CARDIOLOGY | RRC | SPOKANE, WA | FALSE |
| RRC130049-38 | KOOTENAI HEALTH - ADVANCED HEART DISEASE MANAGEMENT CLINIC/ELECTROPHYSIOLOGY - CARDIOLOGY | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-39 | KOOTENAI CLINIC HAND SURGERY - HAND SURGERY | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-40 | KOOTENAI CLINIC INTERNAL MEDICINE - INTERNAL MEDICINE | RRC | POST FALLS, ID | TRUE |
| RRC130049-41 | KOOTENAI CLINIC ENDOSCOPY - ENDOSCOPY | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-42 | KOOTENAI CLINIC ORTHOPEDICS - ORTHOPEDICS | RRC | COEUR D' ALENE, ID | FALSE |
| RRC130049-43 | KOOTENAI CLINIC - ENT & ALLERGY - ENT | RRC | SANDPOINT, ID | FALSE |
| RRC130049-44 | KOOTENAI CLINIC OBSTETRICS & GYNECOLOGY - OBSTETRICS & GYNECOLOGY | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-45 | KOOTENAI CLINIC INTERNAL MEDICINE - INTERNAL MEDICINE | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-46 | KOOTENAI HEART CLINICS - CARDIOLOGY | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-47 | MCGRANE CENTER FOR REHABILITATION - PHYSICAL THERAPY | RRC | Coeur d'Alene, ID | FALSE |
| RRC130049-48 | KOOTENAI OUTPATIENT IMAGING - RADIOLOGY | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-49 | KOOTENAI OUTPATIENT IMAGING - RADIOLOGY | RRC | COEUR D'ALENE, ID | FALSE |
| RRC130049-50 | KOOTENAI CLINIC FAMILY MEDICINE CDA RESIDENCY - FAMILY MEDICINE | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-51 | KOOTENAI HEALTH - ANTICOAGULATION CLINIC - ANTICOAGULATION | RRC | COEUR D' ALENE, ID | TRUE |
| RRC130049-52 | Kootenai Clinic - Orthopedics - Orthopedics | RRC | Coeur D Alene, ID | TRUE |
| RRC130049-53 | KOOTENAI CLINIC FAMILY MEDICINE CDA IRONWOOD - FAMILY MEDICINE | RRC | Coeur D Alene, ID | TRUE |
| RRC130049-54 | KOOTENAI CLINIC LUNG & ASTHMA - LUNG & ASTHMA | RRC | Coeur D Alene, ID | TRUE |
| RRC130049-55 | KOOTENAI CLINIC - SLEEP MEDICINE - SLEEP MEDICINE | RRC | COEUR D'ALENE, ID | TRUE |
| RRC130049-56 | Kootenai Clinic Gastroenterology - Gastroenterology | RRC | Post Falls, ID | FALSE |
| RRC130049-57 | Kootenai Clinic Neurosurgery & Spine - Neurosurgery & Spine | RRC | Coeur D Alene, ID | FALSE |
| RRC130049-58 | Kootenai Clinic Obstetrics & Gynecology - Obstetrics & Gynecology | RRC | Coeur d'Alene, ID | FALSE |
| RRC130049-59 | Kootenai Clinic Podiatry - Podiatry | RRC | Coeur D Alene, ID | FALSE |
| RRC130049-60 | Kootenai Clinic Infectious Disease - Infectious Disease | RRC | Coeur D Alene, ID | FALSE |
| RRC130049-61 | Kootenai Heart Clinic Risk Reduction Clinic - Cardiac Risk Reduction | RRC | Coeur D Alene, ID | FALSE |
| RRC130049-62 | Kootenai Clinic Extensivist Clinic - Extensivist Clinic | RRC | Post Falls, ID | FALSE |
| RRC130049-63 | Kootenai Clinic Internal Medicine - Internal Medicine 1800 | RRC | Post Falls, ID | FALSE |
| RRC130049-64 | Kootenai Clinic Infectious Disease - Infectious Disease | RRC | Coeur D Alene, ID | FALSE |
| RRC130049-65 | Kootenai Clinic Wound Care - Wound Care | RRC | Coeur D Alene, ID | FALSE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| KOOTENAI HEALTH INC | 2003 KOOTENAI HEALTH WAY | COEUR DALENE ID 83814 |
| Kootenai Health Pharmacy | 700 W Ironwood Drive | Coeur d'Alene ID 83814 |
| Kootenai Health | 2003 Kootenai Health Way | Coeur d'Alene ID 83814 |
| Kootenai Health Pharmacy Hayden | 8882 N Government Way | Hayden ID 83835 |
| Kootenai Health Pharmacy Post Falls | 4129 E Early Dawn Avenue | Post Falls ID 83854 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 July 2025 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 July 2025 | no end date filed |
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | 1 July 2025 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 July 2025 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2025 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2025 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 July 2025 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 July 2025 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2025 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 July 2025 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 July 2025 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 July 2025 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 April 2026 | no end date filed |
| CVS CAREMARK | WILKES BARRE, PA | 1 July 2025 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 July 2025 | no end date filed |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 July 2025 | no end date filed |
| FRED MEYER | COEUR D ALENE, ID | 1 July 2025 | no end date filed |
| HEALTHY OPTIONS INC | PORTLAND, OR | 1 July 2025 | no end date filed |
| JACKS PHARMACY INC | ST MARIES, ID | 1 July 2025 | no end date filed |
| OPTION CARE ENTERPRISES, INC. | SPOKANE VALLEY, WA | 1 July 2025 | no end date filed |
| OPTION CARE ENTERPRISES, INC. | LOUISVILLE, KY | 1 July 2025 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2025 | no end date filed |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 July 2025 | no end date filed |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 July 2025 | no end date filed |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | 1 July 2025 | no end date filed |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 July 2025 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 July 2025 | no end date filed |
| PROCARE PHARMACY, L.L.C. | SEATTLE, WA | 1 July 2025 | no end date filed |
| SINA DRUG LLC | NEW HYDE PARK, NY | 1 July 2025 | no end date filed |
| SINA DRUG LLC | LOUISVILLE, KY | 1 July 2025 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 July 2025 | no end date filed |
| WAL-MART PHARMACY 10-3472 | POST FALLS, ID | 1 July 2025 | no end date filed |
| WAL-MART PHARMACY 10-3511 | HAYDEN, ID | 1 July 2025 | no end date filed |
| WAL-MART PHARMACY 10-4395 | POST FALLS, ID | 1 July 2025 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 July 2025 | no end date filed |
| WALGREEN CO. | COEUR D ALENE, ID | 1 July 2025 | no end date filed |
| WALGREEN CO. | LIBERTY LAKE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE VALLEY, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | MILLWOOD, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | SPOKANE VALLEY, WA | 1 July 2025 | no end date filed |
| WALGREEN CO. | POST FALLS, ID | 1 July 2025 | no end date filed |
| WALGREEN CO. | LEWISTON, ID | 1 April 2026 | no end date filed |
| WALGREEN CO. | HAYDEN, ID | 1 July 2025 | no end date filed |
| Walgreens #21435 | West Jordan, UT | 1 April 2026 | no end date filed |
| Walgreens Central Fill #21432 | Kent, WA | 1 July 2026 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 July 2025 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 July 2025 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 July 2025 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 July 2025 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | 1 July 2025 | no end date filed |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | 1 July 2025 | 2 July 2025 |
| THRIFTY PAYLESS, INC. | COEUR D'ALENE, ID | 1 July 2025 | 1 July 2025 |
| THRIFTY PAYLESS, INC. | HAYDEN, ID | 1 July 2025 | 1 July 2025 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 April 2019 | 1 July 2021 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 April 2019 | 1 July 2021 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 April 2019 | 1 July 2021 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 April 2019 | 1 July 2021 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 April 2019 | 1 July 2021 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 April 2019 | 1 July 2021 |
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | 1 April 2019 | 1 July 2021 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 April 2019 | 1 July 2021 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 April 2019 | 1 July 2021 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 April 2019 | 1 July 2021 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 April 2019 | 1 July 2021 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 April 2019 | 1 July 2021 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 April 2019 | 1 July 2021 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 April 2019 | 1 July 2021 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 April 2019 | 1 July 2021 |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 April 2019 | 1 July 2021 |
| CORAM ALTERNATE SITE SERVICES, INC. | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| CORAM ALTERNATE SITE SERVICES, INC. | BOISE, ID | 1 April 2019 | 1 July 2021 |
| CORAM ALTERNATE SITE SERVICES, INC. | PORTLAND, OR | 1 April 2019 | 1 July 2021 |
| CVS CAREMARK | WILKES BARRE, PA | 1 April 2021 | 1 July 2021 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 April 2021 | 1 July 2021 |
| CYSTIC FIBROSIS SERVICES | FRISCO, TX | 1 April 2019 | 1 July 2021 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 April 2019 | 1 July 2021 |
| DOC'S PHARMACY INC. | SANDPOINT, ID | 1 April 2019 | 1 July 2021 |
| DOC'S PHARMACY LLC | RATHDRUM, ID | 1 January 2021 | 1 July 2021 |
| FRED MEYER | COEUR D ALENE, ID | 1 April 2019 | 1 July 2021 |
| FRED MEYER STORES, INC | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| FRED MEYER STORES, INC | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| HEALTHY OPTIONS INC | PORTLAND, OR | 1 April 2019 | 1 July 2021 |
| INTERLAKE PHARMACY | COEUR D ALENE, ID | 1 April 2019 | 1 July 2021 |
| JACKS PHARMACY INC | ST MARIES, ID | 1 October 2020 | 1 July 2021 |
| MEDICINE MAN ATHOL PHARMACY | ATHOL, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN NORTH PHARMACY | HAYDEN, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN NORTH PHARMACY | COEUR D ALENE, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN NORTH PHCY INC | HAYDEN, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN PHARMACY INC | COEUR D ALENE, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN RATHDRUM | RATHDRUM, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN SOUTHWEST | POST FALLS, ID | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN WEST PHARMACY | POST FALLS, ID | 1 April 2019 | 1 July 2021 |
| OPTION CARE ENTERPRISES, INC. | LOUISVILLE, KY | 1 April 2019 | 1 July 2021 |
| OPTION CARE ENTERPRISES, INC. | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 April 2019 | 1 July 2021 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 April 2019 | 1 July 2021 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 April 2019 | 1 July 2021 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 14 July 2020 | 1 July 2021 |
| OPTUM PHARMACY 806, INC. | SACRAMENTO, CA | 14 July 2020 | 1 July 2021 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | 1 April 2019 | 1 July 2021 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 April 2019 | 1 July 2021 |
| PROCARE PHARMACY, L.L.C. | SEATTLE, WA | 1 April 2021 | 1 July 2021 |
| SANDPOINT SUPER DRUG | SANDPOINT, ID | 1 April 2019 | 1 July 2021 |
| THRIFTY PAYLESS, INC. | HAYDEN, ID | 1 April 2019 | 1 July 2021 |
| THRIFTY PAYLESS, INC. | COEUR D'ALENE, ID | 1 April 2019 | 1 July 2021 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 April 2019 | 1 July 2021 |
| WAL-MART PHARMACY 10-2485 | PONDERAY, ID | 1 April 2019 | 1 July 2021 |
| WAL-MART PHARMACY 10-3472 | POST FALLS, ID | 1 April 2019 | 1 July 2021 |
| WAL-MART PHARMACY 10-3511 | HAYDEN, ID | 1 April 2019 | 1 July 2021 |
| WAL-MART PHARMACY 10-4395 | POST FALLS, ID | 1 April 2019 | 1 July 2021 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | HAYDEN, ID | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | COEUR D ALENE, ID | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE VALLEY, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | POST FALLS, ID | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | LIBERTY LAKE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | MILLWOOD, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREEN CO. | SPOKANE, WA | 1 April 2019 | 1 July 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 April 2019 | 1 July 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 April 2019 | 1 July 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | 1 April 2019 | 1 July 2021 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 April 2019 | 1 July 2021 |
| MEDICINE MAN WEST PHARMACY | POST FALLS, ID | 1 April 2019 | 4 December 2020 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | 1 April 2019 | 23 October 2020 |
| AMBER PHARMACY | OMAHA, NE | 1 April 2019 | 27 July 2020 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | 1 April 2019 | 27 July 2020 |
| AVELLA OF DEER VALLEY, INC. #38 | PHOENIX, AZ | 1 April 2019 | 13 July 2020 |
| AVELLA OF SACRAMENTO, INC. | SACRAMENTO, CA | 1 April 2019 | 13 July 2020 |
| ALBERTSON'S LLC | LIBERTY LAKE, WA | 1 April 2019 | 1 April 2020 |
| ALBERTSONS LLC | HAYDEN, ID | 1 April 2019 | 1 April 2020 |
| BRIOVARX OF MAINE INC | SOUTH PORTLAND, ME | 1 April 2019 | 1 April 2020 |
| BRIOVARX OF MASSACHUSETTS, LLC | AVON, MA | 1 April 2019 | 1 April 2020 |
| SAFEWAY INC | BONNERS FERRY, ID | 1 April 2019 | 1 April 2020 |
| SAFEWAY INC | COEUR D ALENE, ID | 1 April 2019 | 1 April 2020 |
| SAFEWAY INC | SANDPOINT, ID | 1 April 2019 | 1 April 2020 |
| SAFEWAY INC | COEUR D ALENE, ID | 1 April 2019 | 1 April 2020 |
| SAFEWAY INC | NEWPORT, WA | 1 April 2019 | 1 April 2020 |
| SHOPKO PHARMACY #2069 | COEUR D'ALENE, ID | 1 April 2019 | 6 March 2019 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.