340B Drug Pricing Program Database


WAL-MART PHARMACY 10-5233 - information as of 5/20/2025 11:59:55 PM


WAL-MART PHARMACY 10-5233

5675 WEST 6200 SOUTH
WEST VALLEY CITY(S), UT 84118



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH460007IHC Health Services Inc. DBA Intermountain Health Cedar City Hospital Disproportionate Share Hospital1303 NORTH MAIN ST
CEDAR CITYUT07/01/202012/22/20203/2/2021 4:00 PM
DetailsPED463301-00IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL Children's Hospital100 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITYUT04/01/201912/22/20203/3/2021 11:20 AM
DetailsSCH460007-00IHC HEALTH SERVICES, INC. DBA: CEDAR CITY HOSPITAL Sole Community Hospital1303 NORTH MAIN
CEDAR CITYUT10/01/201906/03/20206/3/2020 7:58 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-5233 5675 WEST 6200 SOUTH WEST VALLEY CITY(S), UT 841189/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:28 PM
DetailsIs DeletedInsert  False3/28/2013 4:28 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-5233 5675 WEST 6200 SOUTH WEST VALLEY CITY(S), UT 841183/28/2013 4:28 PM
DetailsNameInsert  WAL-MART PHARMACY 10-52333/28/2013 4:28 PM