340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1071 - information as of 4/29/2025 2:01:54 AM


WAL-MART PHARMACY 10-1071

610 WESLEY DRIVE
WOOD RIVER, IL 62095



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH053320SIHF HealthcareSIHF HealthcareHRSA-Funded Health Center2041 Goose Lake Rd,
SaugetIL10/01/2019 10/1/2019 12:05 AM
DetailsDSH140052OSF SAINT ANTHONY'S HEALTH CENTER Disproportionate Share Hospital1 SAINT ANTHONYS WAY
ALTONIL10/01/201609/08/20181/3/2019 11:11 AM
DetailsDSH260091SSM HEALTH ST MARY'S HOSPITAL-STL Disproportionate Share Hospital6420 CLAYTON ROAD
ST. LOUISMO07/01/201804/12/20194/12/2019 11:06 AM
DetailsDSH260091SSM HEALTH ST MARY'S HOSPITAL-STL Disproportionate Share Hospital6420 CLAYTON ROAD
ST. LOUISMO04/17/2019 4/25/2019 8:22 AM
DetailsDSH260104SSM HEALTH DEPAUL HOSPITAL Disproportionate Share Hospital12303 DePaul Dr
BRIDGETONMO07/01/2018 4/13/2018 5:59 PM
DetailsDSH260105SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL Disproportionate Share Hospital1201 South Grand Blvd.
ST. LOUISMO07/01/201804/08/20194/8/2019 11:49 PM
DetailsDSH260105SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL Disproportionate Share Hospital1201 South Grand Blvd.
ST. LOUISMO04/17/2019 4/25/2019 9:52 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1071 610 WESLEY DRIVE WOOD RIVER, IL 620959/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:21 PM
DetailsIs DeletedInsert  False3/28/2013 4:21 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1071 610 WESLEY DRIVE WOOD RIVER, IL 620953/28/2013 4:21 PM
DetailsNameInsert  WAL-MART PHARMACY 10-10713/28/2013 4:21 PM