Pharmacy Details

WALMART PHARMACY 10-7243 - information as of 5/18/2025 12:03:32 AM

Name
WALMART PHARMACY 10-7243

Address

908 NC HIGHWAY 53 EAST
BURGAW, NC 28425

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	FQHCLA364	BLACK RIVER HEALTH SERVICES INC	Black River Family Practice	Health Center Program Look-Alike	301 South Campbell Street		Burgaw	NC	10/01/2018	02/14/2020	3/11/2021 2:57 PM
Details	FQHCLA364	BLACK RIVER HEALTH SERVICES INC	Black River Family Practice	Health Center Program Look-Alike	301 South Campbell Street		Burgaw	NC	01/01/2023		1/1/2023 12:01 AM
Details	FQHCLA364A	BLACK RIVER HEALTH SERVICES INC	Black River Health Center	Health Center Program Look-Alike	109 W. Church Street		Atkinson	NC	10/01/2018	02/14/2020	7/9/2021 2:21 PM
Details	FQHCLA364B	BLACK RIVER HEALTH SERVICES INC	Maple Hill Medical Center	Health Center Program Look-Alike	4811 NC Highway 50		Maple Hill	NC	10/01/2018	02/14/2020	7/9/2021 2:22 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WALMART PHARMACY 10-7243 908 NC HIGHWAY 53 EAST BURGAW, NC 28425	9/29/2017 6:44 AM
Details	Comments	Insert				3/16/2015 10:36 AM
Details	Is Deleted	Insert			False	3/16/2015 10:36 AM
Addresses	Pharmacy Address	Insert			WALMART PHARMACY 10-7243 908 NC HIGHWAY 53 EAST BURGAW, NC 28425	3/16/2015 10:36 AM
Details	Name	Insert			WALMART PHARMACY 10-7243	3/16/2015 10:36 AM