340B Drug Pricing Program Database
WAL-MART PHARMACY 10-1769 - information as of 6/6/2025 4:50:46 AM
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Name
WAL-MART PHARMACY 10-1769
Address
20 INDUSTRIAL DRIVE
DU BOIS, PA 15801
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
DSH390086
DUBOIS REGIONAL MEDICAL CENTER
dba Penn Highlands DuBois
Disproportionate Share Hospital
100 HOSPITAL AVENUE
DUBOIS
PA
01/18/2012
4/26/2017 12:47 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Addresses
Pharmacy Address
Insert
WAL-MART PHARMACY 10-1769 20 INDUSTRIAL DRIVE DU BOIS, PA 15801
9/29/2017 6:44 AM
Details
Comments
Insert
3/28/2013 4:04 PM
Details
Is Deleted
Insert
False
3/28/2013 4:04 PM
Addresses
Pharmacy Address
Insert
WAL-MART PHARMACY 10-1769 20 INDUSTRIAL DRIVE DU BOIS, PA 15801
3/28/2013 4:04 PM
Details
Name
Insert
WAL-MART PHARMACY 10-1769
3/28/2013 4:04 PM
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