340B Drug Pricing Program Database


WAL-MART PHARMACY 10-0088 - information as of 5/12/2025 12:33:56 AM


WAL-MART PHARMACY 10-0088

2100 N MAIN
MOUNTAIN GROVE, MO 65711



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH07440GDOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.Missouri Ozarks Community HealthHRSA-Funded Health Center1604 C North Main Street
Mountain GroveMO01/01/2018 10/4/2017 10:18 AM
DetailsDSH260024TEXAS COUNTY MEMORIAL HOSPITAL Disproportionate Share Hospital1333 S SAM HOUSTON BLVD
HOUSTONMO01/01/2016 5/10/2017 5:43 PM
DetailsDSH260078Ozarks Medical Center DBA Ozarks Healthcare Disproportionate Share Hospital1100 KENTUCKY AVENUE
WEST PLAINSMO07/01/2015 9/2/2016 4:22 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0088 2100 N MAIN MOUNTAIN GROVE, MO 657119/29/2017 6:44 AM
DetailsCommentsInsert   3/28/2013 4:22 PM
DetailsIs DeletedInsert  False3/28/2013 4:22 PM
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-0088 2100 N MAIN MOUNTAIN GROVE, MO 657113/28/2013 4:22 PM
DetailsNameInsert  WAL-MART PHARMACY 10-00883/28/2013 4:22 PM