Pharmacy Details

WAL-MART PHARMACY 10-1183 - information as of 4/25/2025 6:57:10 PM

Name
WAL-MART PHARMACY 10-1183

Address

2401 AUGUSTA ROAD
WEST COLUMBIA, SC 29169

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	DSH420018	PRISMA HEALTH RICHLAND HOSPITAL		Disproportionate Share Hospital	5 Richland Medical Park Drive		COLUMBIA	SC	07/01/2022		7/1/2022 12:01 AM
Details	DSH420086	PRISMA HEALTH BAPTIST HOSPITAL		Disproportionate Share Hospital	1333 Taylor Street		COLUMBIA	SC	04/01/2013	04/01/2020	4/2/2020 9:24 AM
Details	DSH420086	PRISMA HEALTH BAPTIST HOSPITAL		Disproportionate Share Hospital	1333 Taylor Street		COLUMBIA	SC	07/01/2022		7/1/2022 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1183 2401 AUGUSTA ROAD WEST COLUMBIA, SC 29169	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:09 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1183 2401 AUGUSTA ROAD West Columbia, SC 29169	WAL-MART PHARMACY 10-1183 2401 AUGUSTA ROAD WEST COLUMBIA, SC 29169	3/28/2013 4:09 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy 1183 2401 Augusta Rd West West Columbia, SC 29169	WAL-MART PHARMACY 10-1183 2401 AUGUSTA ROAD West Columbia, SC 29169	2/15/2013 9:40 AM
Details	Name	Update		Wal-Mart Pharmacy 1183	WAL-MART PHARMACY 10-1183	2/15/2013 9:40 AM
Details	Comments	Insert				1/10/2013 3:11 PM
Details	Is Deleted	Insert			False	1/10/2013 3:11 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy 1183 2401 Augusta Rd West West Columbia, SC 29169	1/10/2013 3:11 PM
Details	Name	Insert			Wal-Mart Pharmacy 1183	1/10/2013 3:11 PM