Pharmacy Details

WAL-MART PHARMACY 10-0612 - information as of 5/6/2025 12:28:07 AM

Name
WAL-MART PHARMACY 10-0612

Address

2250 LINCOLN AVE
CHARLESTON, IL 61920

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	CH053320	SIHF Healthcare	SIHF Healthcare	HRSA-Funded Health Center	2041 Goose Lake Rd,		Sauget	IL	10/01/2019		10/1/2019 12:05 AM
Details	SCH140189-00	SARAH BUSH LINCOLN HEALTH CENTER		Sole Community Hospital	1000 HEALTH CENTER DRIVE		MATTOON	IL	04/01/2019	04/01/2025	4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0612 2250 LINCOLN AVE CHARLESTON, IL 61920	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:21 PM
Details	Is Deleted	Insert			False	3/28/2013 4:21 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0612 2250 LINCOLN AVE CHARLESTON, IL 61920	3/28/2013 4:21 PM
Details	Name	Insert			WAL-MART PHARMACY 10-0612	3/28/2013 4:21 PM