Pharmacy Details

WAL-MART PHARMACY 10-2554 - information as of 5/12/2025 12:18:05 AM

Name
WAL-MART PHARMACY 10-2554

Address

13055 W RANCHO SANTA FE BLVD
AVONDALE, AZ 85392

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	DSH030115	BANNER ESTRELLA MEDICAL CENTER		Disproportionate Share Hospital	9201 WEST THOMAS ROAD		PHOENIX	AZ	05/31/2012	02/15/2016	2/24/2016 7:35 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2554 13055 W RANCHO SANTA FE BLVD AVONDALE, AZ 85392	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:29 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-2554 13055 W RANCHO SANTA FE BLVD AVONDALE, AZ 85323	WAL-MART PHARMACY 10-2554 13055 W RANCHO SANTA FE BLVD AVONDALE, AZ 85392	3/28/2013 4:29 PM
Addresses	Pharmacy Address	Update		Walmart Store #2554 13055 W Rancho Santa Fe Blvd Avondale, AZ 85392	WAL-MART PHARMACY 10-2554 13055 W RANCHO SANTA FE BLVD AVONDALE, AZ 85323	10/4/2012 5:42 PM
Details	Name	Update		Walmart Store #2554	WAL-MART PHARMACY 10-2554	10/4/2012 5:42 PM
Details	Comments	Insert				5/2/2012 11:42 AM
Details	Is Deleted	Insert			False	5/2/2012 11:42 AM
Addresses	Pharmacy Address	Insert			Walmart Store #2554 13055 W Rancho Santa Fe Blvd Avondale, AZ 85392	5/2/2012 11:42 AM
Details	Name	Insert			Walmart Store #2554	5/2/2012 11:42 AM