340B Drug Pricing Program Database


WAL-MART PHARMACY 10-3604 - information as of 4/25/2025 5:58:25 PM


WAL-MART PHARMACY 10-3604

14200 WEST INDIAN SCHOOL RD.
GOODYEAR, AZ 85395



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH030115BANNER ESTRELLA MEDICAL CENTER Disproportionate Share Hospital9201 WEST THOMAS ROAD
PHOENIXAZ05/31/201202/15/20162/24/2016 7:35 PM
DetailsSTD85012Spectrum Medical Care Center Sexually Transmitted Diseases52 E Monterey Way
Suite A 		PhoenixAZ04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR, AZ 853959/29/2017 6:44 AM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR (INDIANA), AZ 85395WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR, AZ 853954/11/2017 1:37 PM
DetailsCommentsUpdate   3/28/2013 4:29 PM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR (INDIANA), AZ 85338WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR (INDIANA), AZ 853953/28/2013 4:29 PM
AddressesPharmacy AddressUpdate Walmart Store #3604 14200 W Indian School Rd Goodyear, AZ 85395WAL-MART PHARMACY 10-3604 14200 WEST INDIAN SCHOOL RD. GOODYEAR (INDIANA), AZ 8533810/4/2012 5:44 PM
DetailsNameUpdate Walmart Store #3604WAL-MART PHARMACY 10-360410/4/2012 5:44 PM
DetailsCommentsInsert   5/2/2012 11:44 AM
DetailsIs DeletedInsert  False5/2/2012 11:44 AM
AddressesPharmacy AddressInsert  Walmart Store #3604 14200 W Indian School Rd Goodyear, AZ 853955/2/2012 11:44 AM
DetailsNameInsert  Walmart Store #36045/2/2012 11:44 AM