Pharmacy Details

WAL-MART PHARMACY 10-3588 - information as of 4/29/2025 1:59:24 AM

Name
WAL-MART PHARMACY 10-3588

Address

17041 RICHMOND HWY
DUMFRIES, VA 22026

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	CHC12871-01	GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.	Evergreen Terrace	HRSA-Funded Health Center	9705 Liberia Ave		Manassas	VA	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-3588 17041 JEFFERSON DAVIS HWY DUMFRIES, VA 22026	WAL-MART PHARMACY 10-3588 17041 RICHMOND HWY DUMFRIES, VA 22026	7/25/2022 10:09 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3588 17041 JEFFERSON DAVIS HWY DUMFRIES, VA 22026	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:06 PM
Details	Is Deleted	Insert			False	3/28/2013 4:06 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3588 17041 JEFFERSON DAVIS HWY DUMFRIES, VA 22026	3/28/2013 4:06 PM
Details	Name	Insert			WAL-MART PHARMACY 10-3588	3/28/2013 4:06 PM