340B Drug Pricing Program Database


WAL-MART PHARMACY 10-0785 - information as of 4/28/2025 11:39:16 PM


WAL-MART PHARMACY 10-0785

1350 AZALEA DR
WAYNESBORO, MS 39367



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH251316-00H.C. WATKINS MEMORIAL HOSPITAL Critical Access Hospital605 S ARCHUSA AVE
QUITMANMS10/01/201311/16/20158/8/2016 4:02 PM
DetailsCH040570FAMILY HEALTH CENTER INCFAMILY HEALTH CENTER, INC.HRSA-Funded Health Center117 S 11th Ave
LaurelMS01/01/2017 10/11/2016 11:47 AM
DetailsCH042430THE COASTAL FAMILY HEALTH CENTER INCCOASTAL FAMILY HEALTH CENTER CORPORATE OFFICEHRSA-Funded Health Center10467 Corporate Drive
GulfportMS01/01/201710/15/201910/15/2019 5:20 PM
DetailsCH044470GREENE AREA MEDICAL EXTENDERS, INC.LEAKESVILLE MEDICAL CENTERHRSA-Funded Health Center1616 WILLIAMS DRIVE
LEAKESVILLEMS07/01/201601/01/20181/1/2018 12:00 AM
DetailsDSH250058SOUTH CENTRAL REGIONAL MEDICAL CENTER Disproportionate Share Hospital1220 JEFFERSON STREET
LAURELMS07/21/2021 7/21/2021 3:57 PM
DetailsDSH250069RUSH FOUNDATION HOSPITAL Disproportionate Share Hospital1314 19TH AVENUE
MERIDIANMS01/01/201402/05/20164/29/2016 5:16 PM
DetailsDSH250069RUSH FOUNDATION HOSPITAL Disproportionate Share Hospital1314 19TH AVENUE
MERIDIANMS07/01/201704/01/20184/17/2018 12:03 PM
DetailsDSH250077WAYNE GENERAL HOSPITAL Disproportionate Share Hospital950 MATTHEW DRIVE
WAYNESBOROMS04/01/2017 1/17/2017 3:06 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0785 1350 AZALEA DR WAYNESBORO, MS 393679/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:14 PM
DetailsIs DeletedInsert  False3/28/2013 4:14 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0785 1350 AZALEA DR WAYNESBORO, MS 393673/28/2013 4:14 PM
DetailsNameInsert  WAL-MART PHARMACY 10-07853/28/2013 4:14 PM