Pharmacy Details

WAL-MART PHARMACY 10-2905 - information as of 5/20/2025 1:06:02 AM

Name
WAL-MART PHARMACY 10-2905

Address

250 ROUTE #59
SUFFERN, NY 10901

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	DSH330104	MONTEFIORE NYACK HOSPITAL		Disproportionate Share Hospital	160 NORTH MIDLAND AVENUE		NYACK	NY	04/01/2015	01/14/2016	1/14/2016 3:25 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2905 250 ROUTE #59 SUFFERN, NY 10901	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:02 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy #2905 250 Route 59 Suffern, NY 10901	WAL-MART PHARMACY 10-2905 250 ROUTE #59 SUFFERN, NY 10901	3/28/2013 4:02 PM
Details	Name	Update		Wal-Mart Pharmacy #2905	WAL-MART PHARMACY 10-2905	3/28/2013 4:02 PM
Details	Comments	Insert				4/30/2012 2:02 PM
Details	Is Deleted	Insert			False	4/30/2012 2:02 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy #2905 250 Route 59 Suffern, NY 10901	4/30/2012 2:02 PM
Details	Name	Insert			Wal-Mart Pharmacy #2905	4/30/2012 2:02 PM