340B Drug Pricing Program Database


WAL-MART PHARMACY 10-0657 - information as of 4/25/2025 5:53:01 PM


WAL-MART PHARMACY 10-0657

768 S JEFFERSON AVE
COOKEVILLE, TN 38501



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH440039Vanderbilt University Medical Center d/b/a Vanderbilt University Hospital and Clinic Disproportionate Share Hospital1211 MEDICAL CENTER DRIVE
NASHVILLETN04/01/2015 11/4/2016 1:44 PM
DetailsDSH440059COOKEVILLE REGIONAL MEDICAL CENTER Disproportionate Share HospitalCookeville Regional Medical Center 1 Medical Center Blvd
COOKEVILLETN04/01/202312/04/202312/7/2023 11:34 AM
DetailsRRC440059-00COOKEVILLE REGIONAL MEDICAL CENTER Rural Referral Center142 WEST FIFTH STREET
COOKEVILLETN03/15/202204/01/20234/1/2023 12:01 AM
DetailsRWI37204Nashville CARES Ryan White Part A442 Metroplex Dr. Building D Suite 100
NashvilleTN01/27/2025 1/27/2025 9:46 AM
DetailsRWII37204Nashville CARES Ryan White Part B442 Metroplex Dr. Building D Suite 100
NashvilleTN01/31/2025 1/31/2025 11:09 AM
DetailsSTD37204Nashville CARES Sexually Transmitted Diseases442 Metroplex Dr. Building D Suite 100
NashvilleTN01/24/2025 1/24/2025 4:25 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0657 768 S JEFFERSON AVE COOKEVILLE, TN 385019/29/2017 6:44 AM
AddressesPharmacy AddressUpdate Walmart Pharmacy #657 768 South Jefferson Avenue Cookeville, TN 38501WAL-MART PHARMACY 10-0657 768 S JEFFERSON AVE COOKEVILLE, TN 385013/28/2013 4:14 PM
DetailsNameUpdate Walmart Pharmacy #657WAL-MART PHARMACY 10-06573/28/2013 4:14 PM
DetailsCommentsInsert   2/27/2012 12:53 PM
DetailsIs DeletedInsert  False2/27/2012 12:53 PM
AddressesPharmacy AddressInsert  Walmart Pharmacy #657 768 South Jefferson Avenue Cookeville, TN 385012/27/2012 12:53 PM
DetailsNameInsert  Walmart Pharmacy #6572/27/2012 12:53 PM