Pharmacy Details

WAL-MART PHARMACY 10-4249 - information as of 4/25/2025 9:33:21 PM

Name
WAL-MART PHARMACY 10-4249

Address

583 COMMERCE DRIVE
SMELTERVILLE, ID 83868

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	CAH131314-00	SHOSHONE MEDICAL CENTER		Critical Access Hospital	25 jacobs Gulch		KELLOGG	ID	01/01/2019		1/1/2019 12:05 AM
Details	CH108170	Dirne Health Centers, Inc.	Heritage Health CDA	HRSA-Funded Health Center	1090 W Park Pl		Coeur D Alene	ID	10/01/2018		10/1/2018 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4249 583 COMMERCE DRIVE SMELTERVILLE, ID 83868	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 10-4249 583 COMMERCE DRIVE SMELTERVILLE, ID 83868	3/28/2013 4:28 PM
Details	Name	Insert			WAL-MART PHARMACY 10-4249	3/28/2013 4:28 PM