Pharmacy Details

PRUETT'S FOOD - PHARMACY #2 - information as of 4/28/2025 4:09:59 AM

Name
PRUETT'S FOOD - PHARMACY #2

Address

202 CHAPPELL DRIVE
VALLIANT, OK 74764

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	CH0611930	KIAMICHI FAMILY MEDICAL CENTER		HRSA-Funded Health Center	6026 BATTIEST PICKENS RD		BROKEN BOW	OK	07/01/2018		4/6/2018 3:55 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			PRUETT'S FOOD - PHARMACY #2 202 CHAPPELL DRIVE VALLIANT, OK 74764	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		PRUETT'S FOOD - PHARMACY #2 111 CHAPPELL DRIVE VALLIANT, OK 74764	PRUETT'S FOOD - PHARMACY #2 202 CHAPPELL DRIVE VALLIANT, OK 74764	12/23/2014 3:40 PM
Details	Comments	Insert				3/28/2013 4:24 PM
Details	Is Deleted	Insert			False	3/28/2013 4:24 PM
Addresses	Pharmacy Address	Insert			PRUETT'S FOOD - PHARMACY #2 111 CHAPPELL DRIVE VALLIANT, OK 74764	3/28/2013 4:24 PM
Details	Name	Insert			PRUETT'S FOOD - PHARMACY #2	3/28/2013 4:24 PM