Pharmacy Details

WAL-MART PHARMACY 10-1773 - information as of 5/19/2025 1:15:37 AM

Name
WAL-MART PHARMACY 10-1773

Address

12401 JEFFERSON AVE
NEWPORT NEWS, VA 23602

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	CH032240	PENINSULA INSTITUTE FOR COMMUNITY HEALTH (PICH)	DBA 48TH STREET PHYSICIANS	HRSA-Funded Health Center	4714 MARSHALL AVENUE		NEWPORT NEWS	VA	10/01/2024		10/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1773 12401 JEFFERSON AVE NEWPORT NEWS, VA 23602	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:07 PM
Addresses	Pharmacy Address	Update		Walmart Pharmacy #1773 12401 Jefferson Newport News, VA 23602	WAL-MART PHARMACY 10-1773 12401 JEFFERSON AVE NEWPORT NEWS, VA 23602	3/28/2013 4:07 PM
Details	Name	Update		Walmart Pharmacy #1773	WAL-MART PHARMACY 10-1773	3/28/2013 4:07 PM
Details	Comments	Insert				6/7/2012 2:26 PM
Details	Is Deleted	Insert			False	6/7/2012 2:26 PM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy #1773 12401 Jefferson Newport News, VA 23602	6/7/2012 2:26 PM
Details	Name	Insert			Walmart Pharmacy #1773	6/7/2012 2:26 PM