Pharmacy Details

WAL-MART STORES EAST, LP - information as of 4/29/2025 12:42:09 AM

Name
WAL-MART STORES EAST, LP

Address

WAL-MART PHARMACY 10-3430
9011 NE 23RD ST
OKLAHOMA CITY, OK 73141

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	DSH370028	INTEGRIS BAPTIST MEDICAL CENTER		Disproportionate Share Hospital	3300 NW EXPRESSWAY		OKLAHOMA CITY	OK	07/01/2014	02/19/2016	12/12/2016 1:08 PM
Details	DSH370037	SSM ST ANTHONY HOSPITAL		Disproportionate Share Hospital	1000 N Lee Ave		OKLAHOMA CITY	OK	09/26/2012		7/12/2017 4:29 PM
Details	DSH370094	SSM Health St Anthony Hospital - Midwest		Disproportionate Share Hospital	2825 Parklawn Dr		MIDWEST CITY	OK	10/01/2024		10/1/2024 12:01 AM
Details	DSH370106	INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION		Disproportionate Share Hospital	4401 SOUTH WESTERN AVE		OKLAHOMA CITY	OK	07/01/2014	02/19/2016	2/22/2016 5:07 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART STORES EAST, LP WAL-MART PHARMACY 10-3430 9011 NE 23RD ST OKLAHOMA CITY, OK 73141	3/7/2022 11:47 AM
Details	Name	Update		WAL-MART PHARMACY 10-3430	WAL-MART STORES EAST, LP	3/7/2022 11:47 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-3430 9011 NE 23RD STREET MIDWEST CITY, OK 73141	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:24 PM
Addresses	Pharmacy Address	Update		Wal-Mart #3430 9011 NE 23rd St Midwest City, OK 73141	WAL-MART PHARMACY 10-3430 9011 NE 23RD STREET MIDWEST CITY, OK 73141	9/26/2012 1:22 PM
Details	Name	Update		Wal-Mart #3430	WAL-MART PHARMACY 10-3430	9/26/2012 1:22 PM
Details	Comments	Insert				9/4/2012 11:34 AM
Details	Is Deleted	Insert			False	9/4/2012 11:34 AM
Addresses	Pharmacy Address	Insert			Wal-Mart #3430 9011 NE 23rd St Midwest City, OK 73141	9/4/2012 11:34 AM
Details	Name	Insert			Wal-Mart #3430	9/4/2012 11:34 AM