Pharmacy Details

WULLSTEIN PHARMACY INC - information as of 4/25/2025 8:53:35 PM

Name
WULLSTEIN PHARMACY INC

Address

DBA BRANDON PHARMACY
116 E HOLLY BLVD
BRANDON, SD 57005

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	DSH430016	AVERA MCKENNAN		Disproportionate Share Hospital	1325 S. CLIFF AVE.		SIOUX FALLS	SD	07/01/2013		8/3/2017 11:37 AM
Details	DSH430027	Sanford USD Medical Center		Disproportionate Share Hospital	1305 W 18th Street		Sioux Falls	SD	10/01/2015	01/13/2025	1/13/2025 1:22 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		BRANDON PHARMACY 116 E HOLLY BLVD BRANDON, SD 57005	WULLSTEIN PHARMACY INC DBA BRANDON PHARMACY 116 E HOLLY BLVD BRANDON, SD 57005	12/19/2023 3:37 PM
Details	Name	Update		BRANDON PHARMACY	WULLSTEIN PHARMACY INC	12/19/2023 3:37 PM
Addresses	Pharmacy Address	Insert			BRANDON PHARMACY 116 E HOLLY BLVD BRANDON, SD 57005	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		BRANDON HEALTH MART PHARMACY 1517 W HOLLY BLVD BRANDON, SD 57005	BRANDON PHARMACY 116 E HOLLY BLVD BRANDON, SD 57005	9/21/2015 4:28 PM
Details	Name	Update		BRANDON HEALTH MART PHARMACY	BRANDON PHARMACY	9/21/2015 4:28 PM
Details	Comments	Insert				3/28/2013 4:19 PM
Details	Is Deleted	Insert			False	3/28/2013 4:19 PM
Addresses	Pharmacy Address	Insert			BRANDON HEALTH MART PHARMACY 1517 W HOLLY BLVD BRANDON, SD 57005	3/28/2013 4:19 PM
Details	Name	Insert			BRANDON HEALTH MART PHARMACY	3/28/2013 4:19 PM