340B Drug Pricing Program Database


WAL-MART PHARMACY 10-1234 - information as of 5/29/2025 2:37:06 AM


WAL-MART PHARMACY 10-1234

175 WAL-MART PLAZA DRIVE
MONTICELLO, KY 42633



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH181321-00Wayne County Hospital, Inc. Critical Access Hospital166 Hospital Street
MonticelloKY08/29/201212/09/20168/28/2019 9:28 AM
DetailsCH0452070CUMBERLAND FAMILY MEDICAL CENTER, INC.CUMBERLAND FAMILY MEDICAL CENTERHRSA-Funded Health Center360 KEEN STREET
BURKESVILLEKY01/01/2015 10/5/2023 4:55 PM
DetailsCH045207XCUMBERLAND FAMILY MEDICAL CENTER, INC.Wayne County High Healthy Kids ClinicHRSA-Funded Health Center2 Kenny Davis Blvd
MonticelloKY01/01/2024 1/1/2024 12:01 AM
DetailsFQHCLA422Faith Healthcare, IncCommunity Care Clinic, Inc.Health Center Program Look-Alike126 Franklin Rd
MonticelloKY07/01/2022 7/1/2022 12:01 AM
DetailsFQHCLA422AFaith Healthcare, IncNancy Family CareHealth Center Program Look-Alike9919 W Highway 80
NancyKY07/01/2022 7/1/2022 12:01 AM
DetailsFQHCLA422BFaith Healthcare, IncScience Hill Community CareHealth Center Program Look-Alike5775 N Highway 27 Ste 6
Science HillKY07/01/2022 7/1/2022 12:01 AM
DetailsFQHCLA422CFAITH HEALTHCARE INCHopkinsville Community CareHealth Center Program Look-Alike1841 Peartree Ln
HopkinsvilleKY10/01/2023 10/1/2023 12:01 AM
DetailsFQHCLA422DFAITH HEALTHCARE INCPaintsville Community CareHealth Center Program Look-Alike236 College St
PaintsvilleKY10/01/2023 10/1/2023 12:01 AM
DetailsFQHCLA422EFAITH HEALTHCARE INCMount Vernon Community CareHealth Center Program Look-Alike525 Richmond St
Mount VernonKY07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA424Monticello Medical Associates, IncMonticello Medical AssociatesHealth Center Program Look-Alike1 S Creek Dr Ste 102
MonticelloKY10/01/2021 10/1/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WAL-MART PHARMACY 10-1234 175 WAL-MART PLAZA DRIVE MONTICELLO, KY 426339/29/2017 6:44 AM
DetailsCommentsUpdate   3/28/2013 4:15 PM
AddressesPharmacy AddressUpdate WAL-MART PHARMACY #1234 175 WAL-MART PLAZA DRIVE MONTICELLO, KY 42633WAL-MART PHARMACY 10-1234 175 WAL-MART PLAZA DRIVE MONTICELLO, KY 4263311/15/2012 5:03 PM
DetailsNameUpdate WAL-MART PHARMACY #1234WAL-MART PHARMACY 10-123411/15/2012 5:03 PM
AddressesPharmacy AddressUpdate Walmart Pharmacy # 1234 175 WALMART PLAZA DR MONTICELLO, KY 42633WAL-MART PHARMACY #1234 175 WAL-MART PLAZA DRIVE MONTICELLO, KY 426338/29/2012 9:11 AM
DetailsNameUpdate Walmart Pharmacy # 1234WAL-MART PHARMACY #12348/29/2012 9:11 AM
DetailsCommentsInsert   8/8/2012 11:53 AM
DetailsIs DeletedInsert  False8/8/2012 11:53 AM
AddressesPharmacy AddressInsert  Walmart Pharmacy # 1234 175 WALMART PLAZA DR MONTICELLO, KY 426338/8/2012 11:53 AM
DetailsNameInsert  Walmart Pharmacy # 12348/8/2012 11:53 AM