340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1804 - information as of 5/27/2025 1:05:26 PM


WAL-MART PHARMACY 10-1804

1710 APPLE GLEN BLVD
FORT WAYNE, IN 46804



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH151310-00Parkview Wabash Hospital, Inc Critical Access Hospital10 John Kissinger Drive
WABASHIN01/01/201602/10/20172/10/2017 10:43 AM
DetailsCAH151323-00COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. Critical Access Hospital207 NORTH TOWNLINE ROAD
LAGRANGEIN01/01/201602/10/20172/10/2017 10:41 AM
DetailsDSH150021Parkview Hospital Disproportionate Share Hospital11109 PARKVIEW PLAZA DRIVE
FORT WAYNEIN01/01/201610/31/201810/31/2018 12:05 AM
DetailsDSH150101WHITLEY MEMORIAL HOSPITAL Disproportionate Share Hospital1260 E STATE ROAD 205
COLUMBIA CITYIN01/01/201602/10/20175/11/2017 1:26 PM
DetailsFQHCLA423Bowen Health, INC.Bowen Health ClinicHealth Center Program Look-Alike850 N Harrison St
WarsawIN07/01/202201/13/20231/19/2023 2:39 PM
DetailsFQHCLA446ALLIANCE HEALTH CENTERS INCAlliance Health CenterHealth Center Program Look-Alike2700 Lafayette St STE 110
Fort WayneIN10/01/2023 10/1/2023 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1804 1710 APPLE GLEN BLVD FORT WAYNE, IN 468049/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:17 PM
AddressesPharmacy AddressUpdate Wal-Mart 1710 APPLE GLEN BLVD FORT WAYNE, IN 46804WAL-MART PHARMACY 10-1804 1710 APPLE GLEN BLVD FORT WAYNE, IN 468043/28/2013 4:17 PM
DetailsNameUpdate Wal-MartWAL-MART PHARMACY 10-18043/28/2013 4:17 PM
DetailsCommentsInsert   8/12/2012 9:58 AM
DetailsIs DeletedInsert  False8/12/2012 9:58 AM
AddressesPharmacy AddressInsert  Wal-Mart 1710 APPLE GLEN BLVD FORT WAYNE, IN 468048/12/2012 9:58 AM
DetailsNameInsert  Wal-Mart8/12/2012 9:58 AM