340B Drug Pricing Program Database


WAL-MART PHARMACY 10-0974 - information as of 5/6/2025 12:09:47 AM


WAL-MART PHARMACY 10-0974

845 PALM BAY ROAD
WEST MELBOURNE, FL 32904



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH043823ABREVARD HEALTH ALLIANCE INC., THEBHA Melbourne ClinicHRSA-Funded Health Center17 Silver Palm Avenue
MelbourneFL04/01/201905/17/20245/20/2024 9:57 AM
DetailsCH043823BBREVARD HEALTH ALLIANCE INC., THEBHA PALM BAY CLINICHRSA-Funded Health Center5270 Babcock St NE STE 1
Palm BayFL04/01/201905/17/20245/20/2024 9:59 AM
DetailsCH043823HBREVARD HEALTH ALLIANCE INC., THEBHA Barton CommonsHRSA-Funded Health Center220 Barton Blvd
RockledgeFL04/01/201905/17/20245/20/2024 9:58 AM
DetailsCH043823KBREVARD HEALTH ALLIANCE INC., THEBHA Titusville ClinicHRSA-Funded Health Center1537 N Singleton Ave
TitusvilleFL04/01/201905/17/20245/20/2024 9:59 AM
DetailsCH043823LBREVARD HEALTH ALLIANCE INC., THEBHA Malabar ClinicHRSA-Funded Health Center775 Malabar Rd
MalabarFL04/01/201906/04/20206/5/2020 3:06 PM
DetailsCH043823MBREVARD HEALTH ALLIANCE INC., THEBHA Sarno Regional ClinicHRSA-Funded Health Center2120 Sarno Road, Ste 2120
MelbourneFL04/01/201905/17/20245/20/2024 9:59 AM
DetailsCH043823PBREVARD HEALTH ALLIANCE INC., THEBHA Barton Commons Medical Dental MobileHRSA-Funded Health Center220 Barton Blvd UNIT C14
RockledgeFL04/01/201905/17/20245/20/2024 9:59 AM
DetailsCH043823QBREVARD HEALTH ALLIANCE INC., THEBHA Port St. JohnHRSA-Funded Health Center7227 N HIGHWAY 1 SUITE 300
COCOAFL04/01/201905/17/20245/20/2024 9:59 AM
DetailsCH043823RBREVARD HEALTH ALLIANCE, INC., THEBHA Evans Center ClinicHRSA-Funded Health Center1361 Florida Ave NE
STE 2
Palm BayFL07/01/201905/17/20245/20/2024 9:58 AM
DetailsFQHCLA443SPACE COAST HEALTH CENTERS INCSpace Coast Health Centers Primary Care - TitusvilleHealth Center Program Look-Alike951 North Washington Ave Suite 100
TitusvilleFL04/01/2024 4/1/2024 12:01 AM
DetailsFQHCLA443ASPACE COAST HEALTH CENTERS INCSpace Coast Health Centers Primary Care - Port St. JohnHealth Center Program Look-Alike5005 Port St John Pkwy Ste 2400
CocoaFL04/01/2024 4/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0974 845 PALM BAY ROAD WEST MELBOURNE, FL 329049/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:11 PM
DetailsIs DeletedInsert  False3/28/2013 4:11 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0974 845 PALM BAY ROAD WEST MELBOURNE, FL 329043/28/2013 4:11 PM
DetailsNameInsert  WAL-MART PHARMACY 10-09743/28/2013 4:11 PM