340B Drug Pricing Program Database


PUCKETT DISCOUNT PHARMACY - information as of 6/27/2025 1:04:46 AM


PUCKETT DISCOUNT PHARMACY

101 N. LOUIS TITTLE AVE
P O BOX 148
MANGUM, OK 73554-7355



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH371330-00MANGUM REGIONAL MEDICAL CENTER Critical Access Hospital1 WICKERSHAM DRIVE
MANGUMOK01/01/202110/15/202110/15/2021 2:44 PM
DetailsCAH371330-00MANGUM REGIONAL MEDICAL CENTER Critical Access Hospital1 WICKERSHAM DRIVE
MANGUMOK04/01/2022 4/1/2022 12:01 AM
DetailsCAH371330-01MANGUM REGIONAL MEDICAL CENTERMANGUM CITY HOSPITAL AUTHORITY - Mangum Family ClinicCritical Access Hospital118 S LOUIS TITTLE AVE MANGUM CLINIC
MANGUMOK02/02/2022 2/2/2022 8:29 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  PUCKETT DISCOUNT PHARMACY 101 N. LOUIS TITTLE AVE P O BOX 148 MANGUM, OK 73554-73552/22/2018 2:07 PM
AddressesPharmacy AddressInsert  PUCKETT DISCOUNT PHARMACY 101 NORTH LOUIS TITTLE AVENUE P O BOX 148 MANGUM, OK 73554-73552/8/2018 10:57 AM
AddressesPharmacy AddressInsert  PUCKETT DISCOUNT PHARMACY 101 NORTH LOUIS TITTLE AVENUE P O BOX 148 MANGUM, OK 735549/29/2017 6:44 AM
AddressesPharmacy AddressUpdate PUCKETT DISCOUNT PHARMACY 101 NORTH LOUIS TITTLE AVENUE MANGUM, OK 73554PUCKETT DISCOUNT PHARMACY 101 NORTH LOUIS TITTLE AVENUE P O BOX 148 MANGUM, OK 735543/28/2013 4:24 PM
DetailsCommentsInsert   3/28/2013 4:24 PM
DetailsIs DeletedInsert  False3/28/2013 4:24 PM
AddressesPharmacy AddressInsert  PUCKETT DISCOUNT PHARMACY 101 NORTH LOUIS TITTLE AVENUE MANGUM, OK 735543/28/2013 4:24 PM
DetailsNameInsert  PUCKETT DISCOUNT PHARMACY3/28/2013 4:24 PM