Pharmacy Details

SELF-MED RX CLAYTON PHARMACY - information as of 5/6/2025 12:42:16 AM

Name
SELF-MED RX CLAYTON PHARMACY

Address

100 S MAIN ST
PO BOX 686
CLAYTON, GA 30525-5480

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	CH040390	MEDLINK GEORGIA, INC.	Medlink Colbert	HRSA-Funded Health Center	11 CHARLIE MORRIS RD		COLBERT	GA	10/01/2013		7/8/2013 10:07 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SELF-MED RX CLAYTON PHARMACY 100 S MAIN ST PO BOX 686 CLAYTON, GA 30525-5480	1/31/2019 7:45 AM
Addresses	Pharmacy Address	Insert			SELF-MED RX CLAYTON PHARMACY 100 SOUTH MAIN STREET PO BOX 686 CLAYTON, GA 30525	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		SELF-MED RX CLAYTON PHARMACY 100 SOUTH MAIN STREET CLAYTON, GA 30525	SELF-MED RX CLAYTON PHARMACY 100 SOUTH MAIN STREET PO BOX 686 CLAYTON, GA 30525	3/28/2013 4:09 PM
Details	Comments	Insert				3/28/2013 4:09 PM
Details	Is Deleted	Insert			False	3/28/2013 4:09 PM
Addresses	Pharmacy Address	Insert			SELF-MED RX CLAYTON PHARMACY 100 SOUTH MAIN STREET CLAYTON, GA 30525	3/28/2013 4:09 PM
Details	Name	Insert			SELF-MED RX CLAYTON PHARMACY	3/28/2013 4:09 PM