Pharmacy Details

WAL-MART PHARMACY 10-1767 - information as of 4/29/2025 12:42:15 AM

Name
WAL-MART PHARMACY 10-1767

Address

4540 MAIN ST
SHALLOTTE, NC 28470

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	CH047060	LITTLE RIVER MEDICAL CENTER, INC.	LITTLE RIVER MEDICAL CENTER, INC.: MAIN SITE	HRSA-Funded Health Center	4303 Live Oak Dr.		Little River	SC	04/01/2013		3/28/2013 3:11 PM
Details	DSH340068	COLUMBUS REGIONAL HEALTHCARE SYSTEM		Disproportionate Share Hospital	500 Jefferson Street		WHITEVILLE	NC	04/01/2019		4/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1767 4540 MAIN ST SHALLOTTE, NC 28459-0392	WAL-MART PHARMACY 10-1767 4540 MAIN ST SHALLOTTE, NC 28470	3/7/2023 9:44 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1767 4540 MAIN ST SHALLOTTE, NC 28459-0392	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1767 4540 MAIN ST B3079 SHALLOTTE, NC 28459-0392	WAL-MART PHARMACY 10-1767 4540 MAIN ST SHALLOTTE, NC 28459-0392	7/29/2013 9:57 AM
Details	Comments	Update				3/28/2013 4:08 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy 10-1767 4540 Main St B3079 Shallotte, NC 28459-0392	WAL-MART PHARMACY 10-1767 4540 MAIN ST B3079 SHALLOTTE, NC 28459-0392	3/28/2013 4:08 PM
Details	Name	Update		Wal-Mart Pharmacy 10-1767	WAL-MART PHARMACY 10-1767	3/28/2013 4:08 PM
Details	Comments	Insert				1/4/2013 2:08 PM
Details	Is Deleted	Insert			False	1/4/2013 2:08 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy 10-1767 4540 Main St B3079 Shallotte, NC 28459-0392	1/4/2013 2:08 PM
Details	Name	Insert			Wal-Mart Pharmacy 10-1767	1/4/2013 2:08 PM