Pharmacy Details

BERTRAM PHARMACY - information as of 5/9/2025 12:25:07 AM

Name
BERTRAM PHARMACY

Address

1300 N ALLEN ST
ROBINSON, IL 62454-1090

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	CAH141343-00	CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL		Critical Access Hospital	1000 N. ALLEN STREET		ROBINSON	IL	04/01/2020	04/01/2020	7/19/2020 7:09 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BERTRAM PHARMACY 1300 N ALLEN ST ROBINSON, IL 62454-1090	6/25/2019 2:08 PM
Addresses	Pharmacy Address	Update		BERTRAM PHARMACY JAC STORES, INC. 1301 N. ALLEN STREET ROBINSON, IL 62454	BERTRAM PHARMACY JAC STORES, INC. 1300 N. ALLEN STREET ROBINSON, IL 62454	10/25/2013 10:27 AM
Addresses	Pharmacy Address	Update		BERTRAM PHARMACY, JAC STORES, INC. 1301 N. ALLEN STREET ROBINSON, IL 62454	BERTRAM PHARMACY JAC STORES, INC. 1301 N. ALLEN STREET ROBINSON, IL 62454	6/12/2013 2:36 PM
Details	Name	Update		BERTRAM PHARMACY, JAC STORES, INC.	BERTRAM PHARMACY	6/12/2013 2:36 PM
Details	Comments	Insert				3/28/2013 4:21 PM
Details	Is Deleted	Insert			False	3/28/2013 4:21 PM
Addresses	Pharmacy Address	Insert			BERTRAM PHARMACY, JAC STORES, INC. 1301 N. ALLEN STREET ROBINSON, IL 62454	3/28/2013 4:21 PM
Details	Name	Insert			BERTRAM PHARMACY, JAC STORES, INC.	3/28/2013 4:21 PM