Pharmacy Details

WAL-MART PHARMACY 10-2664 - information as of 6/2/2025 8:39:08 AM

Name
WAL-MART PHARMACY 10-2664

Address

21920 ROUTE #119
PUNXSUTAWNEY, PA 15767

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	CH03406A	PRIMARY HEALTH NETWORK, INC.	FARRELL HEALTH CENTER	HRSA-Funded Health Center	602 Roemer Blvd		Farrell	PA	01/01/2015	04/01/2019	4/1/2019 12:05 AM
Details	CH03406B	PRIMARY HEALTH NETWORK, INC.	SHARON MEDICAL GROUP	HRSA-Funded Health Center	63 Pitt St		Sharon	PA	04/01/2019		4/1/2019 12:05 AM
Details	CH03406Z	PRIMARY HEALTH NETWORK, INC.	Tri County Community Health Center	HRSA-Funded Health Center	1555 Shawna Rd		Cherry Tree	PA	01/01/2025		1/1/2025 12:01 AM
Details	DSH390086	DUBOIS REGIONAL MEDICAL CENTER	dba Penn Highlands DuBois	Disproportionate Share Hospital	100 HOSPITAL AVENUE		DUBOIS	PA	02/24/2012		4/26/2017 12:47 PM
Details	SCH390199-00	PUNXSUTAWNEY AREA HOSPITAL		Sole Community Hospital	81 HILLCREST DRIVE		PUNXSUTAWNEY	PA	07/01/2025		4/8/2025 9:15 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2664 21920 ROUTE #119 PUNXSUTAWNEY, PA 15767	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		Walmart Pharmacy # 2664 21920 Route #119 Punxsutawney, PA 15767	WAL-MART PHARMACY 10-2664 21920 ROUTE #119 PUNXSUTAWNEY, PA 15767	3/28/2013 4:04 PM
Details	Name	Update		Walmart Pharmacy # 2664	WAL-MART PHARMACY 10-2664	3/28/2013 4:04 PM
Details	Comments	Insert				2/3/2012 1:32 PM
Details	Is Deleted	Insert			False	2/3/2012 1:32 PM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy # 2664 21920 Route #119 Punxsutawney, PA 15767	2/3/2012 1:32 PM
Details	Name	Insert			Walmart Pharmacy # 2664	2/3/2012 1:32 PM