340B Drug Pricing Program Database


WAL-MART PHARMACY 10-0677 - information as of 6/4/2025 1:44:16 PM


WAL-MART PHARMACY 10-0677

2650 LAKE ROAD
DYERSBURG, TN 38024



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC00333-00CITIZENS OF LAKE COUNTY FOR HEALTH CARELake County Primary Care ClinicHRSA-Funded Health Center710 Carl Perkins Parkway
TIPTONVILLETN01/01/2023 1/1/2023 12:01 AM
DetailsDSH260070PEMISCOT COUNTY MEMORIAL HOSPITAL Disproportionate Share Hospital946 East Reed
HAYTIMO04/01/2017 1/9/2017 11:45 AM
DetailsRRC440002-00Jackson-Madison County General Hospital District dba Jackson-Madison County General Hospital Rural Referral Center620 Skyline Drive
JacksonTN10/01/201408/12/20153/15/2016 3:29 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0677 2650 LAKE ROAD DYERSBURG, TN 380249/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:14 PM
DetailsIs DeletedInsert  False3/28/2013 4:14 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0677 2650 LAKE ROAD DYERSBURG, TN 380243/28/2013 4:14 PM
DetailsNameInsert  WAL-MART PHARMACY 10-06773/28/2013 4:14 PM