Pharmacy Details

WAL-MART PHARMACY 10-0026 - information as of 4/28/2025 11:41:33 PM

Name
WAL-MART PHARMACY 10-0026

Address

5000 10TH AVE
LEAVENWORTH, KS 66048

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	CAH171382-00	Atchison Hospital Association		Critical Access Hospital	DBA: Amberwell Atchison Association	800 Raven Hill Drive	Atchison	KS	04/01/2025		4/1/2025 12:01 AM
Details	DSH170040	UNIVERSITY OF KANSAS HOSPITAL		Disproportionate Share Hospital	4000 Cambridge Street		Kansas City	KS	10/01/2022		10/1/2022 12:01 AM
Details	DSH170133	SAINT LUKE'S CUSHING HOSPITAL		Disproportionate Share Hospital	711 MARSHALL STREET		LEAVENWORTH	KS	10/01/2014	09/30/2015	9/9/2015 6:47 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0026 5000 10TH AVE LEAVENWORTH, KS 66048	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:22 PM
Details	Is Deleted	Insert			False	3/28/2013 4:22 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0026 5000 10TH AVE LEAVENWORTH, KS 66048	3/28/2013 4:22 PM
Details	Name	Insert			WAL-MART PHARMACY 10-0026	3/28/2013 4:22 PM