Pharmacy Details

WAL-MART PHARMACY 10-1719 - information as of 4/28/2025 11:39:05 PM

Name
WAL-MART PHARMACY 10-1719

Address

21400 PERRY ST
BIG RAPIDS, MI 49307

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	DSH230046	UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS		Disproportionate Share Hospital	1500 EAST MEDICAL CENTER DRIVE		ANN ARBOR	MI	07/01/2018	04/01/2025	4/1/2025 12:01 AM
Details	DSH230059	SAINT MARY'S HEALTH CARE		Disproportionate Share Hospital	200 JEFFERSON SE		GRAND RAPIDS	MI	07/01/2018	11/28/2023	1/12/2024 8:14 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1719 21400 PERRY ST BIG RAPIDS, MI 49307	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:18 PM
Details	Is Deleted	Insert			False	3/28/2013 4:18 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1719 21400 PERRY ST BIG RAPIDS, MI 49307	3/28/2013 4:18 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1719	3/28/2013 4:18 PM