Pharmacy Details

WAL-MART PHARMACY 10-1988 - information as of 4/30/2025 11:05:00 PM

Name
WAL-MART PHARMACY 10-1988

Address

900 PLEASANT GROVE BLVD
ROSEVILLE, CA 95678

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	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 10-1988 900 PLEASANT GROVE BLVD ROSEVILLE, CA 95678	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1988 900 PLEASANT GROVE BLVD Roseville, CA 95678	WAL-MART PHARMACY 10-1988 900 PLEASANT GROVE BLVD ROSEVILLE, CA 95678	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		Walmart #1988 900 Pleasant Grove Blvd Roseville, CA 95678	WAL-MART PHARMACY 10-1988 900 PLEASANT GROVE BLVD Roseville, CA 95678	2/26/2013 11:02 AM
Details	Name	Update		Walmart #1988	WAL-MART PHARMACY 10-1988	2/26/2013 11:02 AM
Details	Comments	Insert				9/12/2012 6:38 PM
Details	Is Deleted	Insert			False	9/12/2012 6:38 PM
Addresses	Pharmacy Address	Insert			Walmart #1988 900 Pleasant Grove Blvd Roseville, CA 95678	9/12/2012 6:38 PM
Details	Name	Insert			Walmart #1988	9/12/2012 6:38 PM