Pharmacy Details

WAL-MART PHARMACY 10-3259 - information as of 6/18/2025 12:07:49 AM

Name
WAL-MART PHARMACY 10-3259

Address

3555 MULLAN ROAD
MISSOULA, MT 59808

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	CAH271331-00	MINERAL COMMUNITY HOSPITAL	DBA Mineral Community Hospital	Critical Access Hospital	1208 6TH AVE EAST		SUPERIOR	MT	07/01/2020	07/01/2021	3/11/2022 10:38 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3259 3555 MULLAN ROAD MISSOULA, MT 59808	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:20 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY #3259 3555 MULLAN ROAD MISSOULA, MT 59808	WAL-MART PHARMACY 10-3259 3555 MULLAN ROAD MISSOULA, MT 59808	3/28/2013 4:20 PM
Details	Name	Update		WAL-MART PHARMACY #3259	WAL-MART PHARMACY 10-3259	3/28/2013 4:20 PM
Addresses	Pharmacy Address	Update		Wal-Mart 3555 MULLAN RD MISSOULA, MT 59808	WAL-MART PHARMACY #3259 3555 MULLAN ROAD MISSOULA, MT 59808	8/29/2012 1:56 PM
Details	Name	Update		Wal-Mart	WAL-MART PHARMACY #3259	8/29/2012 1:56 PM
Details	Comments	Insert				8/11/2012 9:23 PM
Details	Is Deleted	Insert			False	8/11/2012 9:23 PM
Addresses	Pharmacy Address	Insert			Wal-Mart 3555 MULLAN RD MISSOULA, MT 59808	8/11/2012 9:23 PM
Details	Name	Insert			Wal-Mart	8/11/2012 9:23 PM