340B Drug Pricing Program Database


KMART PHARMACY #4819 - information as of 5/13/2025 1:52:29 AM


KMART PHARMACY #4819

2019 S. MAIN
LAKEPORT, CA 95453



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH051317-00Adventist Health Clearlake Hospital, Inc. Critical Access Hospital15630 18th Ave - Hwy 53
ClearlakeCA10/19/201209/06/201711/17/2020 6:30 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  KMART PHARMACY #4819 2019 S. MAIN LAKEPORT, CA 954539/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:33 PM
AddressesPharmacy AddressUpdate Kmart Pharmacy #4819 2019 S. Main Lakeport, CA 95453KMART PHARMACY #4819 2019 S. MAIN LAKEPORT, CA 9545310/19/2012 4:07 PM
DetailsNameUpdate Kmart Pharmacy #4819KMART PHARMACY #481910/19/2012 4:07 PM
DetailsCommentsInsert   7/30/2012 12:53 PM
DetailsIs DeletedInsert  False7/30/2012 12:53 PM
AddressesPharmacy AddressInsert  Kmart Pharmacy #4819 2019 S. Main Lakeport, CA 954537/30/2012 12:53 PM
DetailsNameInsert  Kmart Pharmacy #48197/30/2012 12:53 PM