340B Drug Pricing Program Database
WAL-MART PHARMACY 10-2630 - information as of 4/30/2025 11:20:23 PM
Export
Name
WAL-MART PHARMACY 10-2630
Address
1100 NORTH FIRST ST
JESUP, GA 31545
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
CH0452920
DIVERSITY HEALTH CENTER, INC.
Diversity Health Center, Inc.- Long County
HRSA-Funded Health Center
213 N McDonald Street STE A & B
Ludowici
GA
07/01/2020
06/30/2021
10/7/2021 3:47 PM
Details
SCH110124-00
Wayne Memorial Hospital
Sole Community Hospital
865 South First Street
Jesup
GA
09/05/2012
10/19/2018
10/19/2018 11:12 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Addresses
Pharmacy Address
Insert
WAL-MART PHARMACY 10-2630 1100 NORTH FIRST ST JESUP, GA 31545
9/29/2017 6:44 AM
Details
Comments
Update
3/28/2013 4:10 PM
Addresses
Pharmacy Address
Update
WAL-MART PHARMACY #2630 1100 NORTH FIRST ST JESUP, GA 31545
WAL-MART PHARMACY 10-2630 1100 NORTH FIRST ST JESUP, GA 31545
3/28/2013 4:10 PM
Details
Name
Update
WAL-MART PHARMACY #2630
WAL-MART PHARMACY 10-2630
3/28/2013 4:10 PM
Addresses
Pharmacy Address
Update
Walmart Pharmacy #2630 1100 N 1ST ST JESUP, GA 31545
WAL-MART PHARMACY #2630 1100 NORTH FIRST ST JESUP, GA 31545
9/5/2012 12:56 PM
Details
Name
Update
Walmart Pharmacy #2630
WAL-MART PHARMACY #2630
9/5/2012 12:56 PM
Details
Comments
Insert
8/15/2012 11:20 AM
Details
Is Deleted
Insert
False
8/15/2012 11:20 AM
Addresses
Pharmacy Address
Insert
Walmart Pharmacy #2630 1100 N 1ST ST JESUP, GA 31545
8/15/2012 11:20 AM
Details
Name
Insert
Walmart Pharmacy #2630
8/15/2012 11:20 AM
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session