Pharmacy Details

KING TUT PHARMACY - information as of 4/25/2025 6:59:47 PM

Name
KING TUT PHARMACY

Address

90 E 3RD ST
SUITE B
DOUGLAS, AZ 85607

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	CAH031312-00	Bisbee Hospital Association dba Copper Queen Community Hospital		Critical Access Hospital	101 Cole Ave		Bisbee	AZ	01/01/2019	08/26/2024	8/26/2024 12:56 PM
Details	CAH031312-01	Bisbee Hospital Association dba Copper Queen Community Hospital	Douglas Rural Health Clinic	Critical Access Hospital	100 E 5th Street		Douglas	AZ	01/01/2019		1/1/2019 12:05 AM
Details	CAH031312-02	Bisbee Hospital Association dba Copper Queen Community Hospital	Palominas Hereford Rural Health Clinic	Critical Access Hospital	10524 Highway 92		Hereford	AZ	01/01/2019		1/1/2019 12:05 AM
Details	CAH031312-03	Bisbee Hospital Association dba Copper Queen Community Hospital	Bisbee Rural Health Clinic	Critical Access Hospital	7 Bisbee Road		Bisbee	AZ	01/01/2019		1/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				4/18/2018 10:39 AM
Details	Is Deleted	Insert			False	4/18/2018 10:39 AM
Addresses	Pharmacy Address	Insert			KING TUT PHARMACY 90 E 3RD ST SUITE B DOUGLAS, AZ 85607	4/18/2018 10:39 AM
Details	Name	Insert			KING TUT PHARMACY	4/18/2018 10:39 AM