Pharmacy Details

WAL-MART PHARMACY 10-1683 - information as of 6/4/2025 12:21:04 PM

Name
WAL-MART PHARMACY 10-1683

Address

705 SOUTH FREMONT
SHENANDOAH, IA 51601

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	CAH161363-00	Montgomery County Memorial Hospital		Critical Access Hospital	2301 Eastern Avenue		Red Oak	IA	01/01/2023		1/1/2023 12:01 AM
Details	CAH161366-00	Shenandoah Medical Center		Critical Access Hospital	300 Pershing Ave		Shenandoah	IA	04/01/2014		1/16/2014 5:57 PM
Details	DSH280013	THE NEBRASKA MEDICAL CENTER		Disproportionate Share Hospital	989200 Nebraska Medical Center		Omaha	NE	04/01/2015	04/16/2018	4/17/2018 5:08 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1683 705 SOUTH FREMONT SHENANDOAH, IA 51601	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:18 PM
Details	Is Deleted	Insert			False	3/28/2013 4:18 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1683 705 SOUTH FREMONT SHENANDOAH, IA 51601	3/28/2013 4:18 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1683	3/28/2013 4:18 PM