Pharmacy Details

WAL-MART PHARMACY 10-2862 - information as of 5/27/2025 2:49:52 PM

Name
WAL-MART PHARMACY 10-2862

Address

4051 EAST FAIRVIEW AVENUE
MERIDAN, ID 83642

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	DSH130006	ST LUKES REGIONAL MEDICAL CENTER, LTD.		Disproportionate Share Hospital	190 EAST BANNOCK		BOISE	ID	01/01/2013		9/12/2018 1:14 PM
Details	DSH130007	Saint Alphonsus Regional Medical Center		Disproportionate Share Hospital	1055 N. Curtis Rd.		Boise	ID	11/09/2012		7/21/2017 6:21 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2862 4051 EAST FAIRVIEW AVENUE MERIDAN, ID 83642	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:28 PM
Details	Is Deleted	Insert			False	3/28/2013 4:28 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2862 4051 EAST FAIRVIEW AVENUE MERIDAN, ID 83642	3/28/2013 4:28 PM
Details	Name	Insert			WAL-MART PHARMACY 10-2862	3/28/2013 4:28 PM