Pharmacy Details

FAMILY PHARMACY #4 - information as of 5/16/2025 11:45:04 PM

Name
FAMILY PHARMACY #4

Address

18192 BUSINESS 13 STE A
PO BOX 2043
BRANSON WEST, MO 65737

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	CHC28965-02	FORDLAND CLINIC	FORDLAND CLINIC	HRSA-Funded Health Center	11863 State Hwy 13		Kimberling City	MO	04/01/2016	12/05/2018	12/5/2018 10:33 AM
Details	FQHCLA219A	FORDLAND CLINIC	Tri Lakes Community Health Center	Health Center Program Look-Alike	11863 State Hwy 13		Kimberling City	MO	10/01/2015	04/01/2016	1/4/2016 3:21 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			FAMILY PHARMACY #4 18192 BUSINESS 13 STE A PO BOX 2043 BRANSON WEST, MO 65737	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		FAMILY PHARMACY #4 18192 BUSINESS 13 BRANSON WEST, MO 65737	FAMILY PHARMACY #4 18192 BUSINESS 13 STE A PO BOX 2043 BRANSON WEST, MO 65737	10/6/2014 12:57 PM
Addresses	Pharmacy Address	Update		Family Pharmacy- Branson West 4 18192 Business 13 Suite A Branson West, MO 65737	FAMILY PHARMACY #4 18192 BUSINESS 13 BRANSON WEST, MO 65737	3/28/2013 4:22 PM
Details	Name	Update		Family Pharmacy- Branson West 4	FAMILY PHARMACY #4	3/28/2013 4:22 PM
Details	Comments	Insert				9/21/2011 11:26 AM
Details	Is Deleted	Insert			False	9/21/2011 11:26 AM
Addresses	Pharmacy Address	Insert			Family Pharmacy- Branson West 4 18192 Business 13 Suite A Branson West, MO 65737	9/21/2011 11:26 AM
Details	Name	Insert			Family Pharmacy- Branson West 4	9/21/2011 11:26 AM