Pharmacy Details

WAL-MART PHARMACY 10-2633 - information as of 4/27/2025 11:41:13 PM

Name
WAL-MART PHARMACY 10-2633

Address

1303 CENTENNIAL AVENUE
PISCATAWAY, NJ 08854

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	DSH310027	TRINITAS REGIONAL MEDICAL CENTER		Disproportionate Share Hospital	225 WILLIAMSON ST		ELIZABETH	NJ	01/18/2012	06/01/2016	7/13/2017 1:35 PM
Details	DSH310070	SAINT PETER'S UNIVERSITY HOSPITAL		Disproportionate Share Hospital	254 EASTON AVENUE		NEW BRUNSWICK	NJ	10/01/2019		10/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2633 1303 CENTENNIAL AVENUE PISCATAWAY, NJ 08854	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		Walmart Pharmacy #2633 1303 Centennial Ave Piscataway, NJ 08854	WAL-MART PHARMACY 10-2633 1303 CENTENNIAL AVENUE PISCATAWAY, NJ 08854	3/28/2013 4:02 PM
Details	Name	Update		Walmart Pharmacy #2633	WAL-MART PHARMACY 10-2633	3/28/2013 4:02 PM
Details	Comments	Insert				11/30/2011 11:00 AM
Details	Is Deleted	Insert			False	11/30/2011 11:00 AM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy #2633 1303 Centennial Ave Piscataway, NJ 08854	11/30/2011 11:00 AM
Details	Name	Insert			Walmart Pharmacy #2633	11/30/2011 11:00 AM