Pharmacy Details

SUPER ONE PHARMACY #603 - information as of 4/29/2025 5:26:29 AM

Name
SUPER ONE PHARMACY #603

Address

2211 E. MADISON AVE.
BASTROP, LA 71220

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	CH0627740	Morehouse Community Medical Centers, Inc.	CommuniHealth Services - Bastrop Community Health Center	HRSA-Funded Health Center	314 N Franklin Street		Bastrop	LA	10/01/2022	01/03/2023	2/28/2023 1:52 PM
Details	DSH190116	MOREHOUSE GENERAL HOSPITAL		Disproportionate Share Hospital	323 WEST WALNUT		BASTROP	LA	07/01/2022	04/18/2022	9/20/2022 9:34 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SUPER ONE PHARMACY #603 2211 E. MADISON AVE. BASTROP, LA 71220	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:23 PM
Details	Is Deleted	Insert			False	3/28/2013 4:23 PM
Addresses	Pharmacy Address	Insert			SUPER ONE PHARMACY #603 2211 E. MADISON AVE. BASTROP, LA 71220	3/28/2013 4:23 PM
Details	Name	Insert			SUPER ONE PHARMACY #603	3/28/2013 4:23 PM