340B Drug Pricing Program Database


WALMART PHARMACY 10-5003 - information as of 6/26/2025 12:56:18 AM


WALMART PHARMACY 10-5003

211 ASPEN VILLAGE DRIVE
PAGOSA SPRINGS, CO 81147



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH061328-00UPPER SAN JUAN HEALTH SERVICE DISTRICTPAGOSA SPRINGS MEDICAL CENTERCritical Access Hospital95 SOUTH PAGOSA BLVD
PAGOSA SPRINGSCO07/01/2017 4/20/2017 6:22 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WALMART PHARMACY 10-5003 211 ASPEN VILLAGE DRIVE PAGOSA SPRINGS, CO 811479/29/2017 6:44 AM
DetailsCommentsInsert   4/6/2015 11:59 AM
DetailsIs DeletedInsert  False4/6/2015 11:59 AM
AddressesPharmacy AddressInsert  WALMART PHARMACY 10-5003 211 ASPEN VILLAGE DRIVE PAGOSA SPRINGS, CO 811474/6/2015 11:59 AM
DetailsNameInsert  WALMART PHARMACY 10-50034/6/2015 11:59 AM