Pharmacy Details

WAL-MART PHARMACY 10-0173 - information as of 4/27/2025 1:10:08 AM

Name
WAL-MART PHARMACY 10-0173

Address

#1 MEMORIAL DR
POTOSI, MO 63664

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	CAH261308-00	Washington County Memorial Hospital		Critical Access Hospital	300 Health Way		Potosi	MO	04/01/2014		10/16/2015 2:00 PM
Details	CAH261330-00	STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL		Critical Access Hospital	800 STE. GENEVIEVE DRIVE		STE. GENEVIEVE	MO	10/01/2016	12/28/2016	3/22/2017 3:59 PM
Details	CAH261336-00	IRON COUNTY HOSPITAL		Critical Access Hospital	301 NORTH HWY 21		PILOT KNOB	MO	04/01/2019	01/15/2019	2/19/2019 11:57 AM
Details	CAH261336-00	IRON COUNTY HOSPITAL		Critical Access Hospital	301 NORTH HWY 21		PILOT KNOB	MO	07/01/2019		7/1/2019 12:05 AM
Details	CH078000	GREAT MINES HEALTH CENTER	Great Mines Health Center	HRSA-Funded Health Center	#1 Southtowne Dr.		Potosi	MO	09/26/2012		3/28/2013 3:11 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0173 #1 MEMORIAL DR POTOSI, MO 63664	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:22 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-0173 #1 MEMORIAL DRIVE POTOSI, MO 63664	WAL-MART PHARMACY 10-0173 #1 MEMORIAL DR POTOSI, MO 63664	3/28/2013 4:22 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy 173 #1 MEMORIAL DRIVE POTOSI, MO 63664	WAL-MART PHARMACY 10-0173 #1 MEMORIAL DRIVE POTOSI, MO 63664	9/26/2012 11:06 AM
Details	Name	Update		Wal-Mart Pharmacy 173	WAL-MART PHARMACY 10-0173	9/26/2012 11:06 AM
Details	Comments	Insert				8/23/2012 3:19 PM
Details	Is Deleted	Insert			False	8/23/2012 3:19 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy 173 #1 MEMORIAL DRIVE POTOSI, MO 63664	8/23/2012 3:19 PM
Details	Name	Insert			Wal-Mart Pharmacy 173	8/23/2012 3:19 PM