340B Drug Pricing Program Database


WALMART PHARMACY 10-4494 - information as of 6/9/2025 12:03:12 AM


WALMART PHARMACY 10-4494

622 E. USTICK ROAD
CALDWELL, ID 83605



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH101630VALLEY FAMILY HEALTH CARE INCVALLEY FAMILY HEALTH CARE - Payette Medical ClinicHRSA-Funded Health Center1441 NE 10th Ave
PayetteID01/01/2024 1/1/2024 12:01 AM
DetailsDSH130006ST LUKES REGIONAL MEDICAL CENTER, LTD. Disproportionate Share Hospital190 EAST BANNOCK
BOISEID07/01/2017 9/12/2018 1:15 PM
DetailsDSH130013Saint Alphonsus Medical Center Nampa Disproportionate Share Hospital4300 East Flamingo Ave
NAMPAID07/01/202001/01/20251/1/2025 12:01 AM
DetailsDSH130071St. Luke's Nampa Medical Center Disproportionate Share Hospital9850 W ST LUKES DRIVE
NampaID10/01/2019 10/1/2019 12:05 AM
DetailsRRC130013-00ST. ALPHONSUS MEDICAL CENTER - NAMP Rural Referral Center4300 East Flamingo Ave
NAMPAID04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WALMART PHARMACY 10-4494 622 E. USTICK ROAD CALDWELL, ID 836059/29/2017 6:44 AM
DetailsCommentsInsert   8/31/2016 11:36 AM
DetailsIs DeletedInsert  False8/31/2016 11:36 AM
AddressesPharmacy AddressInsert  WALMART PHARMACY 10-4494 622 E. USTICK ROAD CALDWELL, ID 836058/31/2016 11:36 AM
DetailsNameInsert  WALMART PHARMACY 10-44948/31/2016 11:36 AM