Pharmacy Details

WAL-MART PHARMACY 10-1914 - information as of 5/21/2025 12:14:46 AM

Name
WAL-MART PHARMACY 10-1914

Address

4210 EAST HIGHLAND AVE
HIGHLAND, CA 92346

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	CHC28992-00	SAC HEALTH SYSTEM	SACHS-Norton Clinic	HRSA-Funded Health Center	1455 E 3rd St		San Bernardino	CA	07/01/2019	11/28/2023	11/28/2023 12:01 AM
Details	CHC28992-02	SAC HEALTH SYSTEM	SAC Health System Downtown Clinic	HRSA-Funded Health Center	250 S. G Street		San Bernardino	CA	07/01/2019	11/28/2023	11/28/2023 12:01 AM
Details	CHC28992-03	Sac Health System	SACHS-Frazee Clinic	HRSA-Funded Health Center	488 S K St		San Bernardino	CA	07/01/2019	11/28/2023	11/28/2023 12:01 AM
Details	CHC28992-04	Sac Health System	SAC Health System Indio Clinic	HRSA-Funded Health Center	82-934 Civic Center Drive		Indio	CA	07/01/2019	11/28/2023	11/28/2023 12:01 AM
Details	DSH050099	SAN ANTONIO REGIONAL HOSPITAL		Disproportionate Share Hospital	999 SAN BERNARDINO ROAD		UPLAND	CA	04/01/2021	06/01/2023	6/6/2023 2:39 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1914 4210 EAST HIGHLAND AVE HIGHLAND, CA 92346	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:31 PM
Details	Is Deleted	Insert			False	3/28/2013 4:31 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1914 4210 EAST HIGHLAND AVE HIGHLAND, CA 92346	3/28/2013 4:31 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1914	3/28/2013 4:31 PM