Pharmacy Details

GIANT EAGLE PHARMACY #0004 - information as of 6/3/2025 12:30:59 PM

Name
GIANT EAGLE PHARMACY #0004

Address

5055 LIBRARY RD
BETHEL PARK, PA 15102

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	DSH390028	UPMC MERCY		Disproportionate Share Hospital	1400 LOCUST STREET		PITTSBURGH	PA	08/15/2012	09/19/2016	9/28/2016 2:42 PM
Details	DSH390028B	UPMC MERCY	UPMC Mercy Southside Outpatient Center - GI Lab	Disproportionate Share Hospital	2000 Mary Street		Pittsburgh	PA	08/15/2012	07/24/2017	7/24/2017 1:13 PM
Details	DSH390028C	UPMC MERCY	UPMC Mercy Southside Outpatient Center - Infusion Therapy	Disproportionate Share Hospital	2000 Mary Street		Pittsburgh	PA	08/15/2012	07/24/2017	7/24/2017 1:12 PM
Details	DSH390028D	UPMC MERCY	UPMC Mercy Southside Outpatient Center - Pain Mgmt	Disproportionate Share Hospital	2000 Mary Street		Pittsburgh	PA	08/15/2012	07/24/2017	7/24/2017 1:24 PM
Details	DSH390028E	UPMC MERCY	UPMC Mercy Southside Outpatient Center - OR	Disproportionate Share Hospital	2000 Mary Street		Pittsburgh	PA	08/15/2012	07/24/2017	7/24/2017 1:24 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			GIANT EAGLE PHARMACY #0004 5055 LIBRARY RD BETHEL PARK, PA 15102	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		GIANT EAGLE PHARMACY #4 5055 LIBRARY RD BETHEL PARK, PA 15102	GIANT EAGLE PHARMACY #0004 5055 LIBRARY RD BETHEL PARK, PA 15102	11/14/2014 4:53 PM
Details	Name	Update		GIANT EAGLE PHARMACY #4	GIANT EAGLE PHARMACY #0004	11/14/2014 4:53 PM
Details	Comments	Insert				3/28/2013 4:04 PM
Details	Is Deleted	Insert			False	3/28/2013 4:04 PM
Addresses	Pharmacy Address	Insert			GIANT EAGLE PHARMACY #4 5055 LIBRARY RD BETHEL PARK, PA 15102	3/28/2013 4:04 PM
Details	Name	Insert			GIANT EAGLE PHARMACY #4	3/28/2013 4:04 PM