Pharmacy Details

CITY DRUG CO OF JEFFERSON TEX - information as of 6/6/2025 12:44:08 PM

Name
CITY DRUG CO OF JEFFERSON TEX

Address

109 W LAFAYETTE ST
PO BOX 856
JEFFERSON, TX 75657-2205

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	CH0627930	EAST TEXAS BORDER HEALTH CLINIC	East Texas Border Health Clinic DBA Genesis Primecare Marshall 2	HRSA-Funded Health Center	400 S Alamo Blvd		Marshall	TX	07/01/2015	08/12/2018	10/6/2022 12:46 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE ST PO BOX 856 JEFFERSON, TX 75657-2205	7/10/2020 1:55 PM
Addresses	Pharmacy Address	Insert			CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE PO BOX 856 JEFFERSON, TX 75657-2205	7/7/2020 8:30 AM
Addresses	Pharmacy Address	Insert			CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE PO BOX 856 JEFFERSON, TX 75657	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE ST JEFFERSON, TX 75657	CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE PO BOX 856 JEFFERSON, TX 75657	8/2/2017 8:14 AM
Details	Comments	Insert				3/28/2013 4:25 PM
Details	Is Deleted	Insert			False	3/28/2013 4:25 PM
Addresses	Pharmacy Address	Insert			CITY DRUG CO OF JEFFERSON TEX 109 W LAFAYETTE ST JEFFERSON, TX 75657	3/28/2013 4:25 PM
Details	Name	Insert			CITY DRUG CO OF JEFFERSON TEX	3/28/2013 4:25 PM