Pharmacy Details

WAL-MART PHARMACY 10-4208 - information as of 5/21/2025 12:59:02 AM

Name
WAL-MART PHARMACY 10-4208

Address

2705 EAST PARLEYS WAY
SALT LAKE CITY, UT 84109

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	DSH460009	University of Utah		Disproportionate Share Hospital	50 North Medical Drive		Salt Lake City	UT	10/01/2022		10/1/2022 12:01 AM
Details	PED463301-00	IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL		Children's Hospital	100 NORTH MARIO CAPECCHI DRIVE		SALT LAKE CITY	UT	04/01/2019	06/22/2022	6/22/2022 6:29 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4208 2705 EAST PARLEYS WAY SALT LAKE CITY, UT 84109	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 10-4208 2705 EAST PARLEYS WAY SALT LAKE CITY, UT 84109	3/28/2013 4:28 PM
Details	Name	Insert			WAL-MART PHARMACY 10-4208	3/28/2013 4:28 PM