340B Drug Pricing Program Database


WAL-MART PHARMACY 10-3023 - information as of 5/28/2025 12:02:18 AM


WAL-MART PHARMACY 10-3023

4055 EVERGREEN VILLAGE SQUARE
SUITE 140
SAN JOSE, CA 95135



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC02325-00INDIAN HEALTH CENTER OF SANTA CLARA VALLEYINDIAN HEALTH CENTER OF SANTA CLARAHRSA-Funded Health Center1333 Meridian Ave
San JoseCA01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-3023 4055 EVERGREEN VILLAGE SQUARE SUITE 140 SAN JOSE, CA 951359/29/2017 6:44 AM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY 10-3023 4055 EVERGREEN VILLAGE SQUARE SAN JOSE, CA 95135WAL-MART PHARMACY 10-3023 4055 EVERGREEN VILLAGE SQUARE SUITE 140 SAN JOSE, CA 951353/28/2013 4:33 PM
DetailsCommentsInsert   3/28/2013 4:33 PM
DetailsIs DeletedInsert  False3/28/2013 4:33 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-3023 4055 EVERGREEN VILLAGE SQUARE SAN JOSE, CA 951353/28/2013 4:33 PM
DetailsNameInsert  WAL-MART PHARMACY 10-30233/28/2013 4:33 PM