Pharmacy Details

WAL-MART PHARMACY 10-2274 - information as of 4/29/2025 12:44:21 AM

Name
WAL-MART PHARMACY 10-2274

Address

200 S.W. 12TH STREET
FOREST LAKE, MN 55025

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 10-2274 200 S.W. 12TH STREET FOREST LAKE, MN 55025	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:19 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY #2274 200 S.W. 12TH STREET FOREST LAKE, MN 55025	WAL-MART PHARMACY 10-2274 200 S.W. 12TH STREET FOREST LAKE, MN 55025	9/20/2012 12:00 PM
Details	Name	Update		WAL-MART PHARMACY #2274	WAL-MART PHARMACY 10-2274	9/20/2012 12:00 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy #2274 200 12th Street SW Forest Lake, MN 55025	WAL-MART PHARMACY #2274 200 S.W. 12TH STREET FOREST LAKE, MN 55025	9/5/2012 11:54 AM
Details	Name	Update		Wal-Mart Pharmacy #2274	WAL-MART PHARMACY #2274	9/5/2012 11:54 AM
Details	Comments	Insert				8/23/2012 11:04 AM
Details	Is Deleted	Insert			False	8/23/2012 11:04 AM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy #2274 200 12th Street SW Forest Lake, MN 55025	8/23/2012 11:04 AM
Details	Name	Insert			Wal-Mart Pharmacy #2274	8/23/2012 11:04 AM