Pharmacy Details

WAL-MART PHARMACY 10-2629 - information as of 6/2/2025 8:47:59 AM

Name
WAL-MART PHARMACY 10-2629

Address

100 VALLEY PARKWAY
WHITINSVILLE, MA 01588

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	DSH220163	UMASS MEMORIAL MEDICAL CENTER	UNIVERSITY CAMPUS	Disproportionate Share Hospital	55 LAKE AVENUE NORTH		WORCESTER	MA	07/01/2014		4/20/2016 12:00 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2629 100 VALLEY PARKWAY WHITINSVILLE, MA 01588	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-2629 100 VALLEY PARKWAY NORTHBRIDGE, MA 01588	WAL-MART PHARMACY 10-2629 100 VALLEY PARKWAY WHITINSVILLE, MA 01588	2/6/2014 1:04 PM
Details	Comments	Insert				3/28/2013 3:59 PM
Details	Is Deleted	Insert			False	3/28/2013 3:59 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2629 100 VALLEY PARKWAY NORTHBRIDGE, MA 01588	3/28/2013 3:59 PM
Details	Name	Insert			WAL-MART PHARMACY 10-2629	3/28/2013 3:59 PM