Pharmacy Details

WAL-MART PHARMACY 10-5425 - information as of 5/20/2025 1:42:42 AM

Name
WAL-MART PHARMACY 10-5425

Address

1861 SOUTH SAN JACINTO AVENUE
SAN JACINTO, CA 92583

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	CH099010	BORREGO COMMUNITY HEALTH FOUNDATION	BORREGO COMMUNITY HEALTH FOUNDATION	HRSA-Funded Health Center	4343 YAQUI PASS ROAD		BORREGO SPRINGS	CA	01/01/2020	04/01/2024	4/1/2024 12:01 AM
Details	CHC28988-00	DAP HEALTH INC	Desert AIDS Project, Inc.	HRSA-Funded Health Center	1695 N Sunrise Way		Palm Springs	CA	10/01/2023		10/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5425 1861 SOUTH SAN JACINTO AVENUE SAN JACINTO, CA 92583	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 10-5425 1861 SOUTH SAN JACINTO AVENUE SAN JACINTO, CA 92583	3/28/2013 4:31 PM
Details	Name	Insert			WAL-MART PHARMACY 10-5425	3/28/2013 4:31 PM