Pharmacy Details

MEIJER PHARMACY #125 - information as of 4/27/2025 12:04:40 AM

Name
MEIJER PHARMACY #125

Address

5909 ILLINOIS ROAD
FORT WAYNE, IN 46804

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	DSH150021	Parkview Hospital		Disproportionate Share Hospital	11109 PARKVIEW PLAZA DRIVE		FORT WAYNE	IN	10/01/2019	12/13/2022	12/29/2022 9:28 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			MEIJER PHARMACY #125 5909 ILLINOIS ROAD FORT WAYNE, IN 46804	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		MEIJER PHARMACY 5909 ILLINOIS ROAD FORT WAYNE, IN 46804	MEIJER PHARMACY #125 5909 ILLINOIS ROAD FORT WAYNE, IN 46804	1/15/2014 2:30 PM
Details	Name	Update		MEIJER PHARMACY	MEIJER PHARMACY #125	1/15/2014 2:30 PM
Details	Comments	Insert				3/28/2013 4:16 PM
Details	Is Deleted	Insert			False	3/28/2013 4:16 PM
Addresses	Pharmacy Address	Insert			MEIJER PHARMACY 5909 ILLINOIS ROAD FORT WAYNE, IN 46804	3/28/2013 4:16 PM
Details	Name	Insert			MEIJER PHARMACY	3/28/2013 4:16 PM