340B Drug Pricing Program Database
WALMART PHARMACY 10-3988 - information as of 6/14/2025 10:32:23 AM
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Name
WALMART PHARMACY 10-3988
Address
898 S. 2550 E
SPANISH FORK, UT 84660
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
DSH460001
IHC Health Services, Inc. DBA: INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL
Disproportionate Share Hospital
1034 NORTH 500 WEST
PROVO
UT
04/01/2019
01/27/2023
3/27/2023 10:45 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
10/10/2017 3:47 PM
Details
Is Deleted
Insert
False
10/10/2017 3:47 PM
Addresses
Pharmacy Address
Insert
WALMART PHARMACY 10-3988 898 S. 2550 E SPANISH FORK, UT 84660
10/10/2017 3:47 PM
Details
Name
Insert
WALMART PHARMACY 10-3988
10/10/2017 3:47 PM
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