Pharmacy Details

WAL-MART PHARMACY 10-1618 - information as of 6/17/2025 12:10:11 AM

Name
WAL-MART PHARMACY 10-1618

Address

2936 E. 79TH AVE
MERRILLVILLE, IN 46410

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	DSH150002	THE METHODIST HOSPITALS		Disproportionate Share Hospital	600 GRANT ST		GARY	IN	07/01/2015		7/21/2017 7:08 PM
Details	FQHCLA391	219 HEALTH NETWORK INC	219 Health Network	Health Center Program Look-Alike	100 W. Chicago Ave. STE F		East Chicago	IN	04/01/2024		4/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1618 2936 E. 79TH AVE MERRILLVILLE, IN 46410	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:16 PM
Details	Is Deleted	Insert			False	3/28/2013 4:16 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1618 2936 E. 79TH AVE MERRILLVILLE, IN 46410	3/28/2013 4:16 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1618	3/28/2013 4:16 PM