Pharmacy Details

WAL-MART PHARMACY 10-3460 - information as of 5/13/2025 11:17:15 PM

Name
WAL-MART PHARMACY 10-3460

Address

8915 N ALLEN RD
PEORIA, IL 61615

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	DSH140067	SAINT FRANCIS MEDICAL CENTER		Disproportionate Share Hospital	530 NE GLEN OAK AVENUE		PEORIA	IL	07/01/2013	09/29/2023	10/9/2023 10:48 AM
Details	SCH140001-00	GRAHAM HOSPITAL ASSOCIATION		Sole Community Hospital	210 W. Walnut Street		Canton	IL	04/01/2023	10/10/2023	10/13/2023 2:59 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3460 8915 N ALLEN RD PEORIA, IL 61615	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:21 PM
Details	Is Deleted	Insert			False	3/28/2013 4:21 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3460 8915 N ALLEN RD PEORIA, IL 61615	3/28/2013 4:21 PM
Details	Name	Insert			WAL-MART PHARMACY 10-3460	3/28/2013 4:21 PM