Pharmacy Details

TITUSVILLE DISCOUNT PHARMACY - information as of 4/25/2025 8:46:58 PM

Name
TITUSVILLE DISCOUNT PHARMACY

Address

2175 CHENEY HWY
TITUSVILLE, FL 32780-6792

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	HV32935	UNCONDITIONAL LOVE, INC		Ryan White Part C	1495 N. HARBOR CITY BLVD		MELBOURNE	FL	10/01/2020	04/21/2023	4/24/2023 8:51 AM
Details	HV32935A	Unconditional Love, Inc.		Ryan White Part C	1509 N. Harbor City Blvd.	Administration	Melbourne	FL	04/01/2021	04/21/2023	4/24/2023 8:54 AM
Details	HV32935B	Unconditional Love, Inc.		Ryan White Part C	1513 N. Harbor City Blvd.	Administration	Melbourne	FL	04/01/2021	04/21/2023	4/24/2023 8:59 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			TITUSVILLE DISCOUNT PHARMACY 2175 CHENEY HWY TITUSVILLE, FL 32780-6792	11/5/2020 4:19 PM
Addresses	Pharmacy Address	Insert			TITUSVILLE DISCOUNT PHARMACY 2175 B CHENEY HWY TITUSVILLE, FL 32780-6792	10/30/2020 5:11 PM
Addresses	Pharmacy Address	Insert			TITUSVILLE DISCOUNT PHARMACY 2175 B CHENEY HWY TITUSVILLE, FL 32780	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:10 PM
Details	Is Deleted	Insert			False	3/28/2013 4:10 PM
Addresses	Pharmacy Address	Insert			TITUSVILLE DISCOUNT PHARMACY 2175 B CHENEY HWY TITUSVILLE, FL 32780	3/28/2013 4:10 PM
Details	Name	Insert			TITUSVILLE DISCOUNT PHARMACY	3/28/2013 4:10 PM