Pharmacy Details

WAL-MART PHARMACY 10-1794 - information as of 4/28/2025 1:51:24 AM

Name
WAL-MART PHARMACY 10-1794

Address

100 LUNGER DRIVE
BLOOMSBURG, PA 17815

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	DSH390006	GEISINGER MEDICAL CENTER		Disproportionate Share Hospital	100 NORTH ACADEMY AVENUE		DANVILLE	PA	04/01/2013	05/01/2015	1/9/2017 4:05 PM
Details	DSH390006	GEISINGER MEDICAL CENTER		Disproportionate Share Hospital	100 NORTH ACADEMY AVENUE		DANVILLE	PA	04/01/2019		4/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1794 100 LUNGER DRIVE BLOOMSBURG, PA 17815	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:05 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1794 100 Lunger Drive Bloomsburg, PA 17815	WAL-MART PHARMACY 10-1794 100 LUNGER DRIVE BLOOMSBURG, PA 17815	3/28/2013 4:05 PM
Addresses	Pharmacy Address	Update		Walmart #1794 100 Lunger Drive Bloomsburg, PA 17815	WAL-MART PHARMACY 10-1794 100 Lunger Drive Bloomsburg, PA 17815	2/20/2013 4:18 PM
Details	Name	Update		Walmart #1794	WAL-MART PHARMACY 10-1794	2/20/2013 4:18 PM
Details	Comments	Insert				1/11/2013 8:54 AM
Details	Is Deleted	Insert			False	1/11/2013 8:54 AM
Addresses	Pharmacy Address	Insert			Walmart #1794 100 Lunger Drive Bloomsburg, PA 17815	1/11/2013 8:54 AM
Details	Name	Insert			Walmart #1794	1/11/2013 8:54 AM