340B Drug Pricing Program Database


FLAGSTAFF PHARMACY - information as of 4/29/2025 1:49:54 AM


FLAGSTAFF PHARMACY

77 W FOREST AVE STE 104
FLAGSTAFF, AZ 86001



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsSCH030007-00VERDE VALLEY MEDICAL CENTER Sole Community Hospital269 SOUTH CANDY LANE
COTTONWOODAZ01/01/201708/24/20188/24/2018 1:24 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  FLAGSTAFF PHARMACY 77 W FOREST AVE STE 104 FLAGSTAFF, AZ 860019/17/2018 4:11 PM
AddressesPharmacy AddressInsert  FLAGSTAFF PHARMACY 77 W FOREST AVENUE #104 FLAGSTAFF, AZ 860019/29/2017 6:44 AM
AddressesPharmacy AddressUpdate FLAGSTAFF PHARMACY 77 W FOREST AVENUE FLAGSTAFF, AZ 86001FLAGSTAFF PHARMACY 77 W FOREST AVENUE #104 FLAGSTAFF, AZ 860013/28/2013 4:29 PM
AddressesPharmacy AddressUpdate FLAGSTAFF PHARMACY 77 WEST FOREST AVE. #104 FLAGSTAFF, AZ 86001FLAGSTAFF PHARMACY 77 W FOREST AVENUE FLAGSTAFF, AZ 860013/28/2013 4:29 PM
DetailsCommentsInsert   12/11/2009 3:26 PM
DetailsIs DeletedInsert  False12/11/2009 3:26 PM
AddressesPharmacy AddressInsert  FLAGSTAFF PHARMACY 77 WEST FOREST AVE. #104 FLAGSTAFF, AZ 8600112/11/2009 3:26 PM
DetailsNameInsert  FLAGSTAFF PHARMACY12/11/2009 3:26 PM