Pharmacy Details

WAL-MART PHARMACY 10-5891 - information as of 5/12/2025 12:08:39 AM

Name
WAL-MART PHARMACY 10-5891

Address

2200 WHEATSHEAF LANE
PHILADELPHIA, PA 19137

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	CH033200	GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED	Carl Moore Health Center	HRSA-Funded Health Center	1401 S. 31st Street		Philadelphia	PA	04/01/2020		4/1/2020 12:05 AM
Details	DSH390174	THOMAS JEFFERSON UNIVERSITY HOSPITAL		Disproportionate Share Hospital	111 South 11th Street		Philadelphia	PA	04/01/2020		4/1/2020 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5891 2200 WHEATSHEAF LANE PHILADELPHIA, PA 19137	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			WAL-MART PHARMACY 10-5891 2200 WHEATSHEAF LANE PHILADELPHIA, PA 19137	3/28/2013 4:05 PM
Details	Name	Insert			WAL-MART PHARMACY 10-5891	3/28/2013 4:05 PM