340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1369 - information as of 4/25/2025 8:45:40 PM


WAL-MART PHARMACY 10-1369

300 NORTH BEELINE HWY.
PAYSON, AZ 85541



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH031318-00BANNER PAYSON MEDICAL CENTER Critical Access Hospital807 S. PONDEROSA
PAYSONAZ10/01/2024 10/1/2024 12:01 AM
DetailsCH092890NORTH COUNTRY HEALTHCARE, INC.NORTH COUNTRY - FLAGSTAFF CLINICHRSA-Funded Health Center2920 N 4th St
FlagstaffAZ10/01/2017 10/1/2017 12:00 AM
DetailsCH09289PNORTH COUNTRY HEALTHCARE, INC.NORTH COUNTRY HEALTHCARE- PAYSONHRSA-Funded Health Center126 E Main St, Ste B
PAYSONAZ07/01/2024 7/1/2024 12:01 AM
DetailsSTD85012Spectrum Medical Care Center Sexually Transmitted Diseases52 E Monterey Way
Suite A 		PhoenixAZ04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1369 300 NORTH BEELINE HWY. PAYSON, AZ 855419/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:29 PM
DetailsIs DeletedInsert  False3/28/2013 4:29 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1369 300 NORTH BEELINE HWY. PAYSON, AZ 855413/28/2013 4:29 PM
DetailsNameInsert  WAL-MART PHARMACY 10-13693/28/2013 4:29 PM