Pharmacy Details

BAYOU PHARMACY LLC DBA BAYOU PHARMACY - information as of 5/21/2025 12:21:33 AM

Name
BAYOU PHARMACY LLC DBA BAYOU PHARMACY

Address

12855 PADGETT SWITCH RD
IRVINGTON, AL 36544-4015

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	CH044700	Bayou La Batre Area Health Development Board, Inc	MOSTELLAR MEDICAL CENTER	HRSA-Funded Health Center	12701 PADGETT SWITCH ROAD		IRVINGTON	AL	04/01/2014		1/17/2014 2:20 PM
Details	CHC33643-00	ALTAPOINTE HEALTH SYSTEMS, INC.	Accordia Health - Bayou	HRSA-Funded Health Center	13833 Tapia Ave		Bayou La Batre	AL	01/01/2020		1/1/2020 12:05 AM
Details	FQHCLA336	BAYOUCLINIC, INC.	BayouClinic, Inc.	Health Center Program Look-Alike	13833 Tapia Lane		Bayou La Batre	AL	07/01/2017	01/01/2019	1/1/2019 12:05 AM
Details	FQHCLA371	ALTAPOINTE HEALTH SYSTEMS, INC.	Accordia Health - Bayou	Health Center Program Look-Alike	13833 Tapia Ave		Bayou La Batre	AL	10/01/2019	01/01/2020	1/1/2020 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BAYOU PHARMACY LLC DBA BAYOU PHARMACY 12855 PADGETT SWITCH RD IRVINGTON, AL 36544-4015	7/9/2018 8:47 AM
Addresses	Pharmacy Address	Insert			BAYOU PHARMACY LLC DBA BAYOU PHARMACY 12855 PADGETT SWITCH ROAD IRVINGTON, AL 36544	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			BAYOU PHARMACY LLC DBA BAYOU PHARMACY 12855 PADGETT SWITCH ROAD IRVINGTON, AL 36544	3/28/2013 4:13 PM
Details	Name	Insert			BAYOU PHARMACY LLC DBA BAYOU PHARMACY	3/28/2013 4:13 PM