Pharmacy Details

WAL-MART PHARMACY 10-2733 - information as of 4/29/2025 2:06:22 AM

Name
WAL-MART PHARMACY 10-2733

Address

1009 ST. PATRICKS DRIVE
PERRY, GA 31069

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	CH043340	CareConnect Health, Inc.	CareConnect Family Practice and Pediatrics	HRSA-Funded Health Center	510 Alston Street	Suite A	Richland	GA	10/01/2018	07/01/2022	7/1/2022 12:01 AM
Details	DSH110069	HOUSTON MEDICAL CENTER		Disproportionate Share Hospital	1601 WATSON BLVD		WARNER ROBINS	GA	07/01/2022	08/31/2023	12/19/2023 1:21 PM
Details	DSH110104	CRISP REGIONAL HOSPITAL, INC.		Disproportionate Share Hospital	902 7TH STREET NORTH		CORDELE	GA	10/01/2021	02/17/2022	2/25/2022 9:09 AM
Details	DSH110107	Atrium Health Navicent The Medical Center		Disproportionate Share Hospital	777 HEMLOCK ST.		MACON	GA	04/01/2013	05/04/2015	5/13/2015 4:01 PM
Details	DSH110135	R. J. Taylor Memorial Hospital	DBA Taylor Regional Hospital	Disproportionate Share Hospital	222 Perry Highway		Hawkinsville	GA	07/01/2020	09/01/2021	10/20/2021 9:59 AM
Details	DSH110135	R. J. Taylor Memorial Hospital	DBA Taylor Regional Hospital	Disproportionate Share Hospital	222 Perry Highway		Hawkinsville	GA	07/01/2022	08/31/2023	9/8/2023 9:02 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-2733 1009 ST. PATRICKS DRIVE PERRY, GA 31069	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:10 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-2733 1009 ST. PATRICKS DRIVE Perry, GA 31069	WAL-MART PHARMACY 10-2733 1009 ST. PATRICKS DRIVE PERRY, GA 31069	3/28/2013 4:10 PM
Addresses	Pharmacy Address	Update		Walmart #2733 1009 Saint Patricks Dr Perry, GA 31069	WAL-MART PHARMACY 10-2733 1009 ST. PATRICKS DRIVE Perry, GA 31069	2/27/2013 2:21 PM
Details	Name	Update		Walmart #2733	WAL-MART PHARMACY 10-2733	2/27/2013 2:21 PM
Details	Comments	Insert				9/19/2012 12:44 PM
Details	Is Deleted	Insert			False	9/19/2012 12:44 PM
Addresses	Pharmacy Address	Insert			Walmart #2733 1009 Saint Patricks Dr Perry, GA 31069	9/19/2012 12:44 PM
Details	Name	Insert			Walmart #2733	9/19/2012 12:44 PM