Pharmacy Details

WALMART PHARMACY 10-6323 - information as of 6/9/2025 12:08:19 AM

Name
WALMART PHARMACY 10-6323

Address

11333 HIGHWAY 49
GULFPORT, MS 39503

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	CH042430	THE COASTAL FAMILY HEALTH CENTER INC	COASTAL FAMILY HEALTH CENTER CORPORATE OFFICE	HRSA-Funded Health Center	10467 Corporate Drive		Gulfport	MS	07/01/2018		8/14/2024 7:03 AM
Details	DSH250019	MEMORIAL HOSPITAL AT GULFPORT		Disproportionate Share Hospital	4500 Thirteenth Street		GULFPORT	MS	01/01/2016		6/2/2021 9:25 AM
Details	DSH250123	SINGING RIVER GULFPORT		Disproportionate Share Hospital	15200 COMMUNITY ROAD		GULFPORT	MS	07/01/2022	04/01/2025	4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WALMART PHARMACY 10-6323 11333 HIGHWAY 49 GULFPORT, MS 39503	9/29/2017 6:44 AM
Details	Comments	Insert				4/6/2015 11:59 AM
Details	Is Deleted	Insert			False	4/6/2015 11:59 AM
Addresses	Pharmacy Address	Insert			WALMART PHARMACY 10-6323 11333 HIGHWAY 49 GULFPORT, MS 39503	4/6/2015 11:59 AM
Details	Name	Insert			WALMART PHARMACY 10-6323	4/6/2015 11:59 AM