Pharmacy Details

BANNER FAMILY PHARMACY-UNIV MED INSTITUT - information as of 5/25/2025 1:22:20 AM

Name
BANNER FAMILY PHARMACY-UNIV MED INSTITUT

Address

ATTN: PHARMACY DEPARTMENT
1441 N 12TH ST
PHOENIX, AZ 85006

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	DSH030002	Banner – University Medical Center Phoenix		Disproportionate Share Hospital	1111 EAST MCDOWELL ROAD		PHOENIX	AZ	01/01/2017		7/15/2021 2:08 PM
Details	DSH030016	Banner Casa Grande Medical Center		Disproportionate Share Hospital	1800 East Florence Blvd.		Casa Grande	AZ	01/01/2025		1/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BANNER FAMILY PHARMACY-UNIV MED INSTITUT ATTN: PHARMACY DEPARTMENT 1441 N 12TH ST PHOENIX, AZ 85006	4/7/2022 10:18 AM
Addresses	Pharmacy Address	Insert			BANNER FAMILY PHARMACY-UNIV MED INSTITUT 1441 N 12TH ST PHOENIX, AZ 85006-2837	6/25/2019 2:08 PM
Addresses	Pharmacy Address	Insert			BANNER FAMILY PHARMACY-UNIV MED INSTITUT 1441 N. 12TH STREET PHOENIX, AZ 85006	9/29/2017 6:44 AM
Details	Comments	Insert				6/29/2016 12:32 PM
Details	Is Deleted	Insert			False	6/29/2016 12:32 PM
Addresses	Pharmacy Address	Insert			BANNER FAMILY PHARMACY-UNIV MED INSTITUT 1441 N. 12TH STREET PHOENIX, AZ 85006	6/29/2016 12:32 PM
Details	Name	Insert			BANNER FAMILY PHARMACY-UNIV MED INSTITUT	6/29/2016 12:32 PM