Pharmacy Details

WAL-MART PHARMACY 10-1074 - information as of 5/27/2025 4:34:16 PM

Name
WAL-MART PHARMACY 10-1074

Address

1655 SUNSET DR
GRENADA, MS 38901

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	CAH251304-00	TALLAHATCHIE GENERAL HOSPITAL		Critical Access Hospital	141 Dr. T.T. Lewis Circle		CHARLESTON	MS	10/01/2021		10/1/2021 12:01 AM
Details	CAH251312-00	TYLER HOLMES MEMORIAL HOSPITAL		Critical Access Hospital	409 Tyler Holmes Drive		WINONA	MS	07/19/2022		7/19/2022 12:27 PM
Details	DSH250001	University of Mississippi Medical Center		Disproportionate Share Hospital	2500 NORTH STATE ST.		JACKSON	MS	04/01/2019		4/1/2019 12:05 AM
Details	DSH250099	GREENWOOD LEFLORE HOSPITAL		Disproportionate Share Hospital	1401 RIVER ROAD		GREENWOOD	MS	01/01/2021		1/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1074 1655 SUNSET DR GRENADA, MS 38901	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:14 PM
Addresses	Pharmacy Address	Update		Walmart Pharmacy #1074 1655 SUNSET DR GRENADA, MS 38901	WAL-MART PHARMACY 10-1074 1655 SUNSET DR GRENADA, MS 38901	9/26/2012 5:19 PM
Details	Name	Update		Walmart Pharmacy #1074	WAL-MART PHARMACY 10-1074	9/26/2012 5:19 PM
Details	Comments	Insert				8/29/2012 1:51 PM
Details	Is Deleted	Insert			False	8/29/2012 1:51 PM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy #1074 1655 SUNSET DR GRENADA, MS 38901	8/29/2012 1:51 PM
Details	Name	Insert			Walmart Pharmacy #1074	8/29/2012 1:51 PM