Pharmacy Details

WAL-MART PHARMACY 10-2278 - information as of 4/25/2025 5:54:53 PM

Name
WAL-MART PHARMACY 10-2278

Address

1825 DOWNS DRIVE
ERIE, PA 16509

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	DSH390009	SAINT VINCENT HEALTH CENTER		Disproportionate Share Hospital	232 WEST 25TH STREET		ERIE	PA	10/01/2014	05/01/2016	7/27/2017 1:14 PM
Details	DSH390198	MILLCREEK COMMUNITY HOSPITAL		Disproportionate Share Hospital	5515 Peach Street		ERIE	PA	01/01/2021		1/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2278 1825 DOWNS DRIVE ERIE, PA 16509	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 10-2278 1825 DOWNS DRIVE ERIE, PA 16509	3/28/2013 4:04 PM
Details	Name	Insert			WAL-MART PHARMACY 10-2278	3/28/2013 4:04 PM