Pharmacy Details

THE MEDICINE SHOPPE - information as of 6/3/2025 12:19:36 PM

Name
THE MEDICINE SHOPPE

Address

EDLUCY, INC.
1116 WEST MAIN STREET
FAIRFIELD, IL 62837

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	CAH141311-00	FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION		Critical Access Hospital	303 NW 11TH STREET		FAIRFIELD	IL	01/01/2013	11/14/2016	7/12/2017 5:22 PM
Details	CH052130	CHRISTOPHER RURAL HEALTH PLANNING CORP.	REA CLINIC	HRSA-Funded Health Center	4241 HWY 14 WEST		CHRISTOPHER	IL	04/01/2015	01/03/2017	1/3/2017 4:05 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			THE MEDICINE SHOPPE EDLUCY, INC. 1116 WEST MAIN STREET FAIRFIELD, IL 62837	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		THE MEDICINE SHOPPE EDLUCY, INC. FAIRFIELD, IL 62837	THE MEDICINE SHOPPE EDLUCY, INC. 1116 WEST MAIN STREET FAIRFIELD, IL 62837	3/28/2013 4:21 PM
Details	Comments	Update				3/28/2013 4:21 PM
Addresses	Pharmacy Address	Update		THE MEDICINE SHOPPE 1116 WEST MAIN STREET FAIRFIELD, IL 62837	THE MEDICINE SHOPPE EDLUCY, INC. FAIRFIELD, IL 62837	3/28/2013 4:21 PM
Addresses	Pharmacy Address	Update		The Medicine Shoppe Pharmacy 1116 West Main Street Fairfield, IL 62837	THE MEDICINE SHOPPE 1116 WEST MAIN STREET FAIRFIELD, IL 62837	11/15/2012 1:23 PM
Details	Name	Update		The Medicine Shoppe Pharmacy	THE MEDICINE SHOPPE	11/15/2012 1:23 PM
Details	Comments	Insert				10/10/2012 4:13 PM
Details	Is Deleted	Insert			False	10/10/2012 4:13 PM
Addresses	Pharmacy Address	Insert			The Medicine Shoppe Pharmacy 1116 West Main Street Fairfield, IL 62837	10/10/2012 4:13 PM
Details	Name	Insert			The Medicine Shoppe Pharmacy	10/10/2012 4:13 PM