Pharmacy Details

WAL-MART PHARMACY 10-3498 - information as of 4/29/2025 5:23:44 AM

Name
WAL-MART PHARMACY 10-3498

Address

4369 BALL ROAD NE
BLAINE, MN 55014

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	DSH240057	ABBOTT NORTHWESTERN HOSPITAL		Disproportionate Share Hospital	800 EAST 28TH STREET		MINNEAPOLIS	MN	01/01/2024		1/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3498 4369 BALL ROAD NE BLAINE, MN 55014	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-3498 4405 PHEASANT RIDGE DRIVE NE BLAINE, MN 55449	WAL-MART PHARMACY 10-3498 4369 BALL ROAD NE BLAINE, MN 55014	9/30/2015 12:00 PM
Details	Comments	Insert				3/28/2013 4:19 PM
Details	Is Deleted	Insert			False	3/28/2013 4:19 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3498 4405 PHEASANT RIDGE DRIVE NE BLAINE, MN 55449	3/28/2013 4:19 PM
Details	Name	Insert			WAL-MART PHARMACY 10-3498	3/28/2013 4:19 PM