Pharmacy Details

WAL-MART PHARMACY 10-1218 - information as of 4/23/2025 11:36:37 PM

Name
WAL-MART PHARMACY 10-1218

Address

1741 EAST FLORENCE BLVD
CASA GRANDE, AZ 85122

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	CH090030	SUN LIFE FAMILY HEALTH CENTER, INC.	Sun Life Health - Casa Grande Family Practice, Dental & Orthodontics	HRSA-Funded Health Center	865 N Arizola Rd		Casa Grande	AZ	03/05/2012		3/28/2013 3:11 PM
Details	CH092650	AJO COMMUNITY HEALTH CENTER	DESERT SENITA COMMUNITY HEALTH CENTER	HRSA-Funded Health Center	410 N Malacate St		Ajo	AZ	07/01/2023	03/10/2025	3/10/2025 2:10 PM
Details	CH09265B	AJO COMMUNITY HEALTH CENTER	Desert Senita Dental Center	HRSA-Funded Health Center	410 N Malacate St BLDG B		Ajo	AZ	07/01/2024	03/10/2025	3/10/2025 2:06 PM
Details	STD85028	RSG Healthcare		Sexually Transmitted Diseases	11209 N Tatum BLVD	STE 185	Phoenix	AZ	10/01/2024		10/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1218 1741 EAST FLORENCE BLVD CASA GRANDE, AZ 85122	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		Walmart Pharmacy # 1218 1741 East Florence Blvd. Casa Grande, AZ 85122	WAL-MART PHARMACY 10-1218 1741 EAST FLORENCE BLVD CASA GRANDE, AZ 85122	3/28/2013 4:29 PM
Details	Name	Update		Walmart Pharmacy # 1218	WAL-MART PHARMACY 10-1218	3/28/2013 4:29 PM
Details	Comments	Insert				2/2/2012 11:31 AM
Details	Is Deleted	Insert			False	2/2/2012 11:31 AM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy # 1218 1741 East Florence Blvd. Casa Grande, AZ 85122	2/2/2012 11:31 AM
Details	Name	Insert			Walmart Pharmacy # 1218	2/2/2012 11:31 AM