Pharmacy Details

WAL-MART PHARMACY 10-1018 - information as of 4/25/2025 8:49:10 PM

Name
WAL-MART PHARMACY 10-1018

Address

1099 INDIAN DR.
EASTMAN, GA 31023

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	CH043340	CareConnect Health, Inc.	CareConnect Family Practice and Pediatrics	HRSA-Funded Health Center	510 Alston Street	Suite A	Richland	GA	10/01/2021	07/01/2022	7/1/2022 12:01 AM
Details	DSH110092	DODGE COUNTY HOSPITAL		Disproportionate Share Hospital	901 GRIFFIN AVE		EASTMAN	GA	09/21/2012	04/01/2024	4/1/2024 12:01 AM
Details	DSH110107	Atrium Health Navicent The Medical Center		Disproportionate Share Hospital	777 HEMLOCK ST.		MACON	GA	04/01/2013	05/04/2015	5/13/2015 4:01 PM
Details	DSH110135	R. J. Taylor Memorial Hospital	DBA Taylor Regional Hospital	Disproportionate Share Hospital	222 Perry Highway		Hawkinsville	GA	10/01/2020	09/01/2021	10/20/2021 9:59 AM
Details	DSH110135	R. J. Taylor Memorial Hospital	DBA Taylor Regional Hospital	Disproportionate Share Hospital	222 Perry Highway		Hawkinsville	GA	07/01/2022	08/31/2023	9/8/2023 9:02 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1018 1099 INDIAN DR. EASTMAN, GA 31023	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:10 PM
Addresses	Pharmacy Address	Update		Walmart Pharmacy #1018 1099 INDIAN DR EASTMAN, GA 31023	WAL-MART PHARMACY 10-1018 1099 INDIAN DR. EASTMAN, GA 31023	9/21/2012 3:41 PM
Details	Name	Update		Walmart Pharmacy #1018	WAL-MART PHARMACY 10-1018	9/21/2012 3:41 PM
Details	Comments	Insert				8/22/2012 12:33 PM
Details	Is Deleted	Insert			False	8/22/2012 12:33 PM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy #1018 1099 INDIAN DR EASTMAN, GA 31023	8/22/2012 12:33 PM
Details	Name	Insert			Walmart Pharmacy #1018	8/22/2012 12:33 PM