340B Drug Pricing Program Database
KMART PHARMACY #7767 - information as of 5/27/2025 1:03:03 PM
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Name
KMART PHARMACY #7767
Address
1405 S GRAND AVE
CHARLES CITY, IA 50616-3670
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
CAH161347-00
FLOYD COUNTY HOSPITAL
Critical Access Hospital
800 11th Street
CHARLES CITY
IA
10/01/2019
01/10/2020
1/10/2020 12:05 AM
Details
DSH160064
MercyOne North Iowa Medical Center
Disproportionate Share Hospital
1000 4TH STREET SW
MASON CITY
IA
01/01/2020
01/01/2020
1/14/2020 12:17 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
6/25/2019 2:08 PM
Details
Is Deleted
Insert
False
6/25/2019 2:08 PM
Addresses
Pharmacy Address
Insert
KMART PHARMACY #7767 1405 S GRAND AVE CHARLES CITY, IA 50616-3670
6/25/2019 2:08 PM
Details
Name
Insert
KMART PHARMACY #7767
6/25/2019 2:08 PM
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