340B Drug Pricing Program Database


WAL-MART PHARMACY 10-5130 - information as of 5/20/2025 1:51:39 AM


WAL-MART PHARMACY 10-5130

9745 ROOSEVELT BLVD A
PHILADELPHIA (BU), PA 19114



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH390142ALBERT EINSTEIN MEDICAL CENTER Disproportionate Share Hospital5501 OLD YORK ROAD
PHILADELPHIAPA07/01/2020 7/1/2020 12:01 AM
DetailsDSH390174THOMAS JEFFERSON UNIVERSITY HOSPITAL Disproportionate Share Hospital111 South 11th Street
PhiladelphiaPA04/01/2020 4/1/2020 12:05 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-5130 9745 ROOSEVELT BLVD A PHILADELPHIA (BU), PA 191149/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:05 PM
DetailsIs DeletedInsert  False3/28/2013 4:05 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-5130 9745 ROOSEVELT BLVD A PHILADELPHIA (BU), PA 191143/28/2013 4:05 PM
DetailsNameInsert  WAL-MART PHARMACY 10-51303/28/2013 4:05 PM