Pharmacy Details

WAL-MART PHARMACY 10-0975 - information as of 4/23/2025 11:46:16 PM

Name
WAL-MART PHARMACY 10-0975

Address

3712 W MAIN STREET
DURANT, OK 74701

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	CAH371342-00	McCurtain Memorial Hospital		Critical Access Hospital	1301 Lincoln Rd		Idabel	OK	04/01/2021	04/08/2025	4/8/2025 4:18 PM
Details	CHC06453-00	PUSHMATAHA FAMILY MEDICAL CENTER INC.	PUSHMATAHA FAMILY MEDICAL CENTER	HRSA-Funded Health Center	1020 North Lawson Blvd		CLAYTON	OK	04/01/2019	01/28/2019	1/28/2019 11:47 AM
Details	CHC06453-00	PUSHMATAHA FAMILY MEDICAL CENTER INC.	PUSHMATAHA FAMILY MEDICAL CENTER	HRSA-Funded Health Center	1020 North Lawson Blvd		CLAYTON	OK	07/01/2019	05/23/2023	9/20/2024 11:29 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0975 3712 W MAIN STREET DURANT, OK 74701	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:24 PM
Details	Is Deleted	Insert			False	3/28/2013 4:24 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0975 3712 W MAIN STREET DURANT, OK 74701	3/28/2013 4:24 PM
Details	Name	Insert			WAL-MART PHARMACY 10-0975	3/28/2013 4:24 PM