Pharmacy Details

WAL-MART PHARMACY 10-4252 - information as of 6/4/2025 1:31:07 PM

Name
WAL-MART PHARMACY 10-4252

Address

2601 E HUNTINGTON DR.
FLAGSTAFF, AZ 86004

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	CH092890	NORTH COUNTRY HEALTHCARE, INC.	NORTH COUNTRY - FLAGSTAFF CLINIC	HRSA-Funded Health Center	2920 N 4th St		Flagstaff	AZ	10/01/2017		10/1/2017 12:00 AM
Details	DSH030023	FLAGSTAFF MEDICAL CENTER		Disproportionate Share Hospital	1200 NORTH BEAVER		FLAGSTAFF	AZ	10/01/2019	12/12/2022	4/10/2023 12:43 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4252 2601 E HUNTINGTON DR. FLAGSTAFF, AZ 86004	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:29 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy 4252 2601 E HUNTINGTON DR FLAGSTAFF, AZ 86004	WAL-MART PHARMACY 10-4252 2601 E HUNTINGTON DR. FLAGSTAFF, AZ 86004	3/28/2013 4:29 PM
Details	Name	Update		Wal-Mart Pharmacy 4252	WAL-MART PHARMACY 10-4252	3/28/2013 4:29 PM
Details	Comments	Insert				5/29/2012 12:08 PM
Details	Is Deleted	Insert			False	5/29/2012 12:08 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy 4252 2601 E HUNTINGTON DR FLAGSTAFF, AZ 86004	5/29/2012 12:08 PM
Details	Name	Insert			Wal-Mart Pharmacy 4252	5/29/2012 12:08 PM