Pharmacy Details

JEFFERSON PHARMACY-WALNUT ST - information as of 5/11/2025 12:07:33 AM

Name
JEFFERSON PHARMACY-WALNUT ST

Address

908 WALNUT ST
PHILADELPHIA, PA 19107-5564

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	DSH390174	THOMAS JEFFERSON UNIVERSITY HOSPITAL		Disproportionate Share Hospital	111 South 11th Street		Philadelphia	PA	04/01/2014		5/11/2017 5:31 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			JEFFERSON PHARMACY-WALNUT ST 908 WALNUT ST PHILADELPHIA, PA 19107-5564	11/13/2019 4:32 PM
Addresses	Pharmacy Address	Insert			JEFFERSON PHARMACY-WALNUT ST 908 WALNUT STREET PHILADELPHIA, PA 19107	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:05 PM
Details	Is Deleted	Insert			False	3/28/2013 4:05 PM
Addresses	Pharmacy Address	Insert			JEFFERSON PHARMACY-WALNUT ST 908 WALNUT STREET PHILADELPHIA, PA 19107	3/28/2013 4:05 PM
Details	Name	Insert			JEFFERSON PHARMACY-WALNUT ST	3/28/2013 4:05 PM