Pharmacy Details

WAL-MART PHARMACY 10-1025 - information as of 4/30/2025 12:13:28 AM

Name
WAL-MART PHARMACY 10-1025

Address

1608 VETERANS BLVD
MCCOMB, MS 39648

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	CAH251309-00	FIELD MEMORIAL COMMUNITY HOSPITAL		Critical Access Hospital	178 HWY 24		CENTREVILLE	MS	04/01/2016		10/31/2016 11:32 AM
Details	CAH251325-00	COVINGTON COUNTY HOSPITAL		Critical Access Hospital	701 SOUTH HOLLY STREET		COLLINS	MS	01/01/2018	07/02/2018	7/18/2018 9:58 AM
Details	CAH251330-00	FRANKLIN COUNTY MEMORIAL HOSPITAL		Critical Access Hospital	40 UNION CHURCH RD		MEADVILLE	MS	04/01/2018	11/12/2019	2/11/2021 9:23 AM
Details	CH045780	AMITE COUNTY MEDICAL SERVICES, INC.	AMITE COUNTY MEDICAL SERVICES, INC.	HRSA-Funded Health Center	102 WEST FREEDOM DRIVE		LIBERTY	MS	04/01/2020		4/1/2020 12:05 AM
Details	CH04578A	AMITE COUNTY MEDICAL SERVICES, INC.	Pike County Medical Services	HRSA-Funded Health Center	303 LLewellyn Ave		McComb	MS	04/01/2020		4/1/2020 12:05 AM
Details	CH04578B	AMITE COUNTY MEDICAL SERVICES, INC.	LIBERTY DENTAL SERVICES	HRSA-Funded Health Center	102 FREEDOM DRIVE		LIBERTY	MS	04/01/2020		4/1/2020 12:05 AM
Details	DSH190020	LANE REGIONAL MEDICAL CENTER		Disproportionate Share Hospital	6300 MAIN STREET		ZACHARY	LA	07/01/2014	08/01/2015	5/3/2017 1:19 PM
Details	DSH250097	SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER		Disproportionate Share Hospital	215 MARION AVE.		MCCOMB	MS	04/01/2019		4/1/2019 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1025 1608 VETERANS BLVD MCCOMB, MS 39648	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-1025 1608 SMITHDALE RD MCCOMB, MS 39648	WAL-MART PHARMACY 10-1025 1608 VETERANS BLVD MCCOMB, MS 39648	8/31/2016 11:36 AM
Details	Comments	Insert				3/28/2013 4:14 PM
Details	Is Deleted	Insert			False	3/28/2013 4:14 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1025 1608 SMITHDALE RD MCCOMB, MS 39648	3/28/2013 4:14 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1025	3/28/2013 4:14 PM