Pharmacy Details

WAL-MART PHARMACY 10-0165 - information as of 6/6/2025 4:37:45 AM

Name
WAL-MART PHARMACY 10-0165

Address

2121 HWY. 79 SOUTH
HENDERSON, TX 75654

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	CHC11422-00	MT. ENTERPRISE COMMUNITY HEALTH CLINIC		HRSA-Funded Health Center	106 WEST RUSK STREET		MT. ENTERPRISE	TX	04/01/2017		1/23/2017 12:04 PM
Details	DSH450102	CHRISTUS MOTHER FRANCES HOSP-TYLER		Disproportionate Share Hospital	800 EAST DAWSON		TYLER	TX	03/10/2022		3/10/2022 2:00 PM
Details	DSH450475	East Texas Medical Center Henderson		Disproportionate Share Hospital	300 WILSON STREET		HENDERSON	TX	04/01/2013	04/01/2018	4/1/2018 12:00 AM
Details	RRC450102-00	CHRISTUS MOTHER FRANCES HOSP-TYLER		Rural Referral Center	800 EAST DAWSON ST.		TYLER	TX	04/01/2022	03/10/2022	3/10/2022 10:10 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0165 2121 HWY. 79 SOUTH HENDERSON, TX 75654	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:25 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 10-0165 2121 Us Hwy. 79 South Henderson, TX 75654	WAL-MART PHARMACY 10-0165 2121 HWY. 79 SOUTH HENDERSON, TX 75654	3/28/2013 4:25 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 165 2121 Us Hwy 79 South Henderson, TX 75654	WAL-MART PHARMACY 10-0165 2121 Us Hwy. 79 South Henderson, TX 75654	3/8/2013 11:32 AM
Details	Name	Update		WAL-MART PHARMACY 165	WAL-MART PHARMACY 10-0165	3/8/2013 11:32 AM
Details	Comments	Insert				1/15/2013 9:40 AM
Details	Is Deleted	Insert			False	1/15/2013 9:40 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 165 2121 Us Hwy 79 South Henderson, TX 75654	1/15/2013 9:40 AM
Details	Name	Insert			WAL-MART PHARMACY 165	1/15/2013 9:40 AM