Pharmacy Details

WAL-MART PHARMACY 10-2678 - information as of 5/21/2025 12:28:57 AM

Name
WAL-MART PHARMACY 10-2678

Address

316 INDIAN RIDGE ROAD
MISHAWAKA, IN 46545

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	CH0530920	HEALTHLINC INC	HealthLinc Valparaiso	HRSA-Funded Health Center	1001 Sturdy Rd		Valparaiso	IN	01/01/2022		1/1/2022 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2678 316 INDIAN RIDGE ROAD MISHAWAKA, IN 46545	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 10-2678 316 INDIAN RIDGE ROAD MISHAWAKA, IN 46545	3/28/2013 4:16 PM
Details	Name	Insert			WAL-MART PHARMACY 10-2678	3/28/2013 4:16 PM