340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1059 - information as of 4/29/2025 4:37:25 AM


WAL-MART PHARMACY 10-1059

1309 HWY 35 SO
FOREST, MS 39074



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH251300-00INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL Critical Access Hospital330 N. BROAD ST.
FORESTMS07/01/2014 2/12/2016 4:10 PM
DetailsCAH251323-00SCOTT REGIONAL HOSPITAL Critical Access Hospital317 HIGHWAY 13 SOUTH
MORTONMS08/29/201201/01/20244/11/2024 12:33 PM
DetailsCH040570FAMILY HEALTH CENTER INCFAMILY HEALTH CENTER, INC.HRSA-Funded Health Center117 S 11th Ave
LaurelMS10/01/202208/26/20249/13/2024 1:14 PM
DetailsCH042720EAST CENTRAL MISSISSIPPI HEALTH CARE, INC. HRSA-Funded Health Center1490 HIGHWAY 487
SEBASTOPOLMS10/01/2016 7/14/2016 9:58 AM
DetailsDSH250001University of Mississippi Medical Center Disproportionate Share Hospital2500 NORTH STATE ST.
JACKSONMS04/01/2019 4/1/2019 12:05 AM
DetailsDSH250069RUSH FOUNDATION HOSPITAL Disproportionate Share Hospital1314 19TH AVENUE
MERIDIANMS01/01/201402/05/20162/16/2016 2:27 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1059 1309 HWY 35 SO FOREST, MS 390749/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:14 PM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY #1059 1309 HWY 35 SO FOREST, MS 39074WAL-MART PHARMACY 10-1059 1309 HWY 35 SO FOREST, MS 390743/28/2013 4:14 PM
DetailsNameUpdate WAL-MART PHARMACY #1059WAL-MART PHARMACY 10-10593/28/2013 4:14 PM
DetailsCommentsUpdate   8/29/2012 9:30 AM
AddressesPharmacy AddressUpdate Walmart Pharmacy # 1059 1309 Highway 35 S Forest, MS 39074WAL-MART PHARMACY #1059 1309 HWY 35 SO FOREST, MS 390748/29/2012 9:30 AM
DetailsNameUpdate Walmart Pharmacy # 1059WAL-MART PHARMACY #10598/29/2012 9:30 AM
DetailsCommentsInsert   2/3/2012 11:37 AM
DetailsIs DeletedInsert  False2/3/2012 11:37 AM
AddressesPharmacy AddressInsert  Walmart Pharmacy # 1059 1309 Highway 35 S Forest, MS 390742/3/2012 11:37 AM