Pharmacy Details

WAL-MART PHARMACY 10-1880 - information as of 4/28/2025 1:53:15 AM

Name
WAL-MART PHARMACY 10-1880

Address

2051 NEWMARK AVENUE
COOS BAY, OR 97420

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	CH1010860	WATERFALL CLINIC INC	WATERFALL CLINIC, INC.	HRSA-Funded Health Center	1890 Waite St STE 1		North Bend	OR	07/01/2021		7/1/2021 12:01 AM
Details	DSH380090	BAY AREA HOSPITAL		Disproportionate Share Hospital	1775 THOMPSON ROAD		COOS BAY	OR	08/12/2022		8/12/2022 1:24 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1880 2051 NEWMARK AVENUE COOS BAY, OR 97420	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:34 PM
Details	Is Deleted	Insert			False	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-1880 2051 NEWMARK AVENUE COOS BAY, OR 97420	3/28/2013 4:34 PM
Details	Name	Insert			WAL-MART PHARMACY 10-1880	3/28/2013 4:34 PM