Pharmacy Details

WAL-MART PHARMACY 10-2457 - information as of 5/21/2025 12:32:59 AM

Name
WAL-MART PHARMACY 10-2457

Address

10655 FOLSOM BLVD.
RANCHO CORDOVA, CA 95670

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	CHC12872-00	WellSpace Health	J Street Community Health Center	HRSA-Funded Health Center	1820 J Street		Sacramento	CA	07/01/2025		4/15/2025 11:42 PM
Details	CHC24113-00	Elica Health Centers	Elica Health Centers	HRSA-Funded Health Center	155 15th St		West Sacramento	CA	01/01/2023		1/1/2023 12:01 AM
Details	DSH050516	MERCY SAN JUAN MEDICAL CENTER		Disproportionate Share Hospital	6501 COYLE AVENUE		CARMICHAEL	CA	01/01/2020	02/28/2021	2/28/2021 12:01 AM
Details	DSH050599	UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER		Disproportionate Share Hospital	2315 STOCKTON BLVD		SACRAMENTO	CA	04/01/2013	05/31/2023	7/11/2023 2:37 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2457 10655 FOLSOM BLVD. RANCHO CORDOVA, CA 95670	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-2457 10655 FOLSOM BLVD. Rancho Cordova, CA 95670	WAL-MART PHARMACY 10-2457 10655 FOLSOM BLVD. RANCHO CORDOVA, CA 95670	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		Walmart #2457 10655 Folsom Blvd Rancho Cordova, CA 95670	WAL-MART PHARMACY 10-2457 10655 FOLSOM BLVD. Rancho Cordova, CA 95670	2/26/2013 11:36 AM
Details	Name	Update		Walmart #2457	WAL-MART PHARMACY 10-2457	2/26/2013 11:36 AM
Details	Comments	Insert				9/12/2012 6:33 PM
Details	Is Deleted	Insert			False	9/12/2012 6:33 PM
Addresses	Pharmacy Address	Insert			Walmart #2457 10655 Folsom Blvd Rancho Cordova, CA 95670	9/12/2012 6:33 PM
Details	Name	Insert			Walmart #2457	9/12/2012 6:33 PM