Pharmacy Details

ASCENSION RX 1206 - information as of 5/19/2025 1:34:52 AM

Name
ASCENSION RX 1206

Address

150 E SWAN ST
CENTERVILLE, TN 37033

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	CAH441300-00	HICKMAN COMMUNITY HOSPITAL	DBA SAINT THOMAS HICKMAN HOSPITAL	Critical Access Hospital	135 EAST SWAN STREET		CENTERVILLE	TN	07/01/2022		7/1/2022 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		HICKMAN CHARITABLE PHARMACY 150 E SWAN ST CENTERVILLE, TN 37033-1446	ASCENSION RX 1206 150 E SWAN ST CENTERVILLE, TN 37033	1/20/2023 1:27 PM
Details	Name	Update		HICKMAN CHARITABLE PHARMACY	ASCENSION RX 1206	1/20/2023 1:27 PM
Addresses	Pharmacy Address	Insert			HICKMAN CHARITABLE PHARMACY 150 E SWAN ST CENTERVILLE, TN 37033-1446	9/25/2020 6:05 PM
Details	Comments	Insert				9/29/2017 6:44 AM
Details	Is Deleted	Insert			False	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Insert			HICKMAN CHARITABLE PHARMACY 150 EAST SWAN STREET CENTERVILLE, TN 37033	9/29/2017 6:44 AM
Details	Name	Insert			HICKMAN CHARITABLE PHARMACY	9/29/2017 6:44 AM