Pharmacy Details

WAL-MART PHARMACY 10-1070 - information as of 6/1/2025 4:12:15 AM

Name
WAL-MART PHARMACY 10-1070

Address

88 HIGHLAND CROSSING
EAST ELLIJAY, GA 30540

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	CH042110	GEORGIA MOUNTAINS HEALTH SERVICES, INC.	MORGANTON	HRSA-Funded Health Center	165 Blue Ridge Overlook		Blue Ridge	GA	04/13/2012	10/01/2015	7/15/2015 12:17 PM
Details	CH04211P	GEORGIA MOUNTAINS HEALTH SERVICES, INC.	Fannin County Medical and Admin consolidated site	HRSA-Funded Health Center	165 Blue Ridge Overlook		Blue Ridge	GA	07/01/2015		4/13/2015 11:04 AM
Details	DSH110225	PIEDMONT MOUNTAINSIDE HOSPITAL INC.		Disproportionate Share Hospital	1266 HIGHWAY 515 SOUTH		JASPER	GA	10/01/2017	04/12/2018	4/13/2018 2:09 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1070 88 HIGHLAND CROSSING EAST ELLIJAY, GA 30539	WAL-MART PHARMACY 10-1070 88 HIGHLAND CROSSING EAST ELLIJAY, GA 30540	2/27/2023 11:00 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1070 88 HIGHLAND CROSSING EAST ELLIJAY, GA 30539	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:09 PM
Details	Is Deleted	Insert			False	3/28/2013 4:09 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1070 88 HIGHLAND CROSSING EAST ELLIJAY, GA 30539	3/28/2013 4:09 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1070	3/28/2013 4:09 PM