Pharmacy Details

MEDICAL CENTER PRESCRIPTION - information as of 4/30/2025 12:15:01 AM

Name
MEDICAL CENTER PRESCRIPTION

Address

MEDICAL CENTER PRESCRIPTION SHOP
710 MEDICAL CENTER DR
EASTMAN, GA 31023-6736

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	CH043340	CareConnect Health, Inc.	CareConnect Family Practice and Pediatrics	HRSA-Funded Health Center	510 Alston Street	Suite A	Richland	GA	01/01/2014	05/05/2016	5/5/2016 1:50 PM
Details	CH04334F	CareConnect Health, Inc.	Eastman Medical Center	HRSA-Funded Health Center	1111 Griffin Avenue, Suite A		Eastman	GA	09/09/2011	05/05/2016	5/5/2016 1:50 PM
Details	DSH110092	DODGE COUNTY HOSPITAL		Disproportionate Share Hospital	901 GRIFFIN AVE		EASTMAN	GA	07/01/2013	04/01/2024	4/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			MEDICAL CENTER PRESCRIPTION MEDICAL CENTER PRESCRIPTION SHOP 710 MEDICAL CENTER DR EASTMAN, GA 31023-6736	1/23/2019 4:16 PM
Addresses	Pharmacy Address	Update		Prescription Shop 710 Medical Center Drive Eastman, GA 31023	MEDICAL CENTER PRESCRIPTION MEDICAL CENTER PRESCRIPTION SHOP 710 MEDICAL CENTER DRIVE EASTMAN, GA 31023	3/28/2013 4:10 PM
Details	Name	Update		Prescription Shop	MEDICAL CENTER PRESCRIPTION	3/28/2013 4:10 PM
Details	Comments	Insert				8/25/2011 8:14 AM
Details	Is Deleted	Insert			False	8/25/2011 8:14 AM
Addresses	Pharmacy Address	Insert			Prescription Shop 710 Medical Center Drive Eastman, GA 31023	8/25/2011 8:14 AM
Details	Name	Insert			Prescription Shop	8/25/2011 8:14 AM