Pharmacy Details

WAL-MART PHARMACY 10-4318 - information as of 6/18/2025 12:08:51 AM

Name
WAL-MART PHARMACY 10-4318

Address

145 KELLEY BOULEVARD
MILLBROOK, AL 36054

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	DSH010024	JACKSON HOSPITAL AND CLINIC INC		Disproportionate Share Hospital	1725 PINE STREET		MONTGOMERY	AL	09/12/2022		9/12/2022 2:56 PM
Details	RRC010024-00	JACKSON HOSPITAL AND CLINIC INC		Rural Referral Center	1725 PINE STREET		MONTGOMERY	AL	01/01/2018	09/07/2022	9/7/2022 10:51 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4318 145 KELLEY BOULEVARD MILLBROOK, AL 36054	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:13 PM
Details	Is Deleted	Insert			False	3/28/2013 4:13 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4318 145 KELLEY BOULEVARD MILLBROOK, AL 36054	3/28/2013 4:13 PM
Details	Name	Insert			WAL-MART PHARMACY 10-4318	3/28/2013 4:13 PM