340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1789 - information as of 6/4/2025 12:24:47 PM


WAL-MART PHARMACY 10-1789

1601 S. LOWER SACRAMENTO RD.
LODI, CA 95242



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH090780Community Medical Centers, Inc.Community Medical Centers, ChannelHRSA-Funded Health Center701 E Channel St.
StocktonCA04/01/2013 3/28/2013 3:11 PM
DetailsCHC24113-00Elica Health CentersElica Health CentersHRSA-Funded Health Center155 15th St
West SacramentoCA01/01/2023 1/1/2023 12:01 AM
DetailsDSH050084ST JOSEPH'S MEDICAL CENTER Disproportionate Share Hospital1800 N CALIFORNIA STREET
STOCKTONCA01/01/202012/31/20202/8/2021 1:58 PM
DetailsDSH050122DAMERON HOSPITAL ASSOCIATION Disproportionate Share Hospital525 WEST ACACIA STREET
STOCKTONCA01/01/202012/07/20202/18/2021 1:21 PM
DetailsDSH050336Adventist Health Lodi Memorial Disproportionate Share Hospital975 S. FAIRMONT AVENUE
LODICA01/01/2016 10/14/2015 4:55 PM
DetailsFQHCLA328SAN JOAQUIN, COUNTY OFPrimary Medicine ClinicHealth Center Program Look-Alike500 W. Hospital Rd
Suite C 		French CampCA06/01/202011/26/20233/20/2024 1:39 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1789 1601 S. LOWER SACRAMENTO RD. LODI, CA 952429/29/2017 6:44 AM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY 10-1789 2350 W KETTLEMAN LANE LODI, CA 95242WAL-MART PHARMACY 10-1789 1601 S. LOWER SACRAMENTO RD. LODI, CA 952427/21/2016 10:35 AM
DetailsCommentsUpdate   3/28/2013 4:33 PM
AddressesPharmacy AddressUpdate Wal-Mart Pharmacy 10-1789 2350 W Kettleman Lane Lodi, CA 95242WAL-MART PHARMACY 10-1789 2350 W KETTLEMAN LANE LODI, CA 952423/28/2013 4:33 PM
DetailsNameUpdate Wal-Mart Pharmacy 10-1789WAL-MART PHARMACY 10-17893/28/2013 4:33 PM
AddressesPharmacy AddressUpdate Wal-Mart Pharmacy 10-1789 2350 W. Kettleman Lane Lodi, CA 95242Wal-Mart Pharmacy 10-1789 2350 W Kettleman Lane Lodi, CA 952423/15/2013 11:04 AM
DetailsCommentsInsert   1/14/2013 2:14 PM
DetailsIs DeletedInsert  False1/14/2013 2:14 PM
AddressesPharmacy AddressInsert  Wal-Mart Pharmacy 10-1789 2350 W. Kettleman Lane Lodi, CA 952421/14/2013 2:14 PM
DetailsNameInsert  Wal-Mart Pharmacy 10-17891/14/2013 2:14 PM