Pharmacy Details

KROGER PHARMACY #425 - information as of 6/4/2025 12:14:19 PM

Name
KROGER PHARMACY #425

Address

6310 E STATE BLVD
FORT WAYNE, IN 46815-7023

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	DSH150021	Parkview Hospital		Disproportionate Share Hospital	11109 PARKVIEW PLAZA DRIVE		FORT WAYNE	IN	07/01/2016	02/10/2017	2/10/2017 11:19 AM
Details	DSH150021	Parkview Hospital		Disproportionate Share Hospital	11109 PARKVIEW PLAZA DRIVE		FORT WAYNE	IN	10/01/2019	11/04/2020	11/4/2020 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			KROGER PHARMACY #425 6310 E STATE BLVD FORT WAYNE, IN 46815-7023	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:17 PM
Details	Comments	Update				10/15/2012 4:13 PM
Addresses	Pharmacy Address	Update		Kroger Pharamcy #21425 6310 E STATE BLVD FT WAYNE, IN 46815	KROGER PHARMACY #425 6310 E STATE BLVD FORT WAYNE, IN 46815-7023	10/15/2012 4:13 PM
Details	Name	Update		Kroger Pharamcy #21425	KROGER PHARMACY #425	10/15/2012 4:13 PM
Details	Comments	Insert				10/2/2011 1:37 PM
Details	Is Deleted	Insert			False	10/2/2011 1:37 PM
Addresses	Pharmacy Address	Insert			Kroger Pharamcy #21425 6310 E STATE BLVD FT WAYNE, IN 46815	10/2/2011 1:37 PM
Details	Name	Insert			Kroger Pharamcy #21425	10/2/2011 1:37 PM