Pharmacy Details

WAL-MART PHARMACY 10-4558 - information as of 5/21/2025 12:41:07 AM

Name
WAL-MART PHARMACY 10-4558

Address

4200 SALEM ROAD
COVINGTON, GA 30016

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	DSH110018	PIEDMONT NEWTON HOSPITAL, INC.		Disproportionate Share Hospital	5126 HOSPITAL DRIVE		COVINGTON	GA	01/01/2013	05/14/2015	6/5/2017 3:31 PM
Details	DSH110018	PIEDMONT NEWTON HOSPITAL, INC.		Disproportionate Share Hospital	5126 HOSPITAL DRIVE		COVINGTON	GA	10/01/2017	05/23/2018	7/13/2018 2:08 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-4558 4200 SALEM ROAD COVINGTON, GA 30016	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:09 PM
Addresses	Pharmacy Address	Update		Wal-Mart Pharmacy 10-4558 4200 SALEM ROAD COVINGTON, GA 30016	WAL-MART PHARMACY 10-4558 4200 SALEM ROAD COVINGTON, GA 30016	11/15/2012 1:06 PM
Details	Name	Update		Wal-Mart Pharmacy 10-4558	WAL-MART PHARMACY 10-4558	11/15/2012 1:06 PM
Details	Comments	Insert				10/11/2012 5:39 PM
Details	Is Deleted	Insert			False	10/11/2012 5:39 PM
Addresses	Pharmacy Address	Insert			Wal-Mart Pharmacy 10-4558 4200 SALEM ROAD COVINGTON, GA 30016	10/11/2012 5:39 PM
Details	Name	Insert			Wal-Mart Pharmacy 10-4558	10/11/2012 5:39 PM