340B Drug Pricing Program Database
WALMART PHARMACY 10-4700 - information as of 6/8/2025 1:21:21 AM
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Name
WALMART PHARMACY 10-4700
Address
1707 WEST STATE STREET
PLEASANT GROVE, UT 84062
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
CAH461300-00
IHC Health Services, INC. DBA: INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL
Critical Access Hospital
126 S WHITE SAGE AVE
DELTA
UT
04/01/2019
10/26/2021
10/28/2021 11:19 PM
Details
DSH460001
IHC Health Services, Inc. DBA: INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL
Disproportionate Share Hospital
1034 NORTH 500 WEST
PROVO
UT
04/01/2019
12/22/2020
3/10/2021 4:55 PM
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
WALMART PHARMACY 10-4700 1707 WEST STATE STREET PLEASANT GROVE, UT 84062
9/29/2017 6:44 AM
Details
Comments
Insert
6/2/2014 4:05 PM
Details
Is Deleted
Insert
False
6/2/2014 4:05 PM
Addresses
Pharmacy Address
Insert
WALMART PHARMACY 10-4700 1707 WEST STATE STREET PLEASANT GROVE, UT 84062
6/2/2014 4:05 PM
Details
Name
Insert
WALMART PHARMACY 10-4700
6/2/2014 4:05 PM
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