Pharmacy Details

WAL-MART PHARMACY 10-5167 - information as of 5/29/2025 12:09:30 AM

Name
WAL-MART PHARMACY 10-5167

Address

1052 S. TURF FARM RD
PAYSON, UT 84651

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	DSH460001	IHC Health Services, Inc. DBA: INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL		Disproportionate Share Hospital	1034 NORTH 500 WEST		PROVO	UT	04/01/2019	10/20/2023	1/16/2024 11:30 AM
Details	DSH460043	OREM COMMUNITY HOSPITAL		Disproportionate Share Hospital	331 NORTH 400 WEST		OREM	UT	03/15/2022	01/31/2023	2/1/2023 10:30 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5167 1052 S. TURF FARM RD PAYSON, UT 84651	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:29 PM
Details	Is Deleted	Insert			False	3/28/2013 4:29 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5167 1052 S. TURF FARM RD PAYSON, UT 84651	3/28/2013 4:29 PM
Details	Name	Insert			WAL-MART PHARMACY 10-5167	3/28/2013 4:29 PM