Pharmacy Details

WAL-MART PHARMACY 10-0572 - information as of 5/6/2025 12:38:30 AM

Name
WAL-MART PHARMACY 10-0572

Address

1201 STONE RD
KILGORE, TX 75662

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	CHC08217-00	LONGVIEW WELLNESS CENTER, INC.	Wellness Pointe - Longview Buliding 3	HRSA-Funded Health Center	1107 E. Marshall Avenue	Building 3	Longview	TX	01/01/2023		1/1/2023 12:01 AM
Details	CHC28363-00	SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED	Longview Care Clinic	HRSA-Funded Health Center	409 N. 6th Street		LONGVIEW	TX	07/01/2023		7/1/2023 12:01 AM
Details	DSH450032	GOOD SHEPHERD MEDICAL CENTER		Disproportionate Share Hospital	700 E. MARSHALL AVENUE		LONGVIEW	TX	07/01/2023		7/1/2023 12:01 AM
Details	DSH450037	GOOD SHEPHERD MEDICAL CENTER		Disproportionate Share Hospital	700 E. MARSHALL AVENUE		LONGVIEW	TX	04/01/2016	07/01/2019	3/30/2024 9:36 AM
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	RRC450102-00	CHRISTUS MOTHER FRANCES HOSP-TYLER		Rural Referral Center	800 EAST DAWSON ST.		TYLER	TX	10/14/2020	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 10-0572 1201 STONE RD KILGORE, TX 75662	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:25 PM
Addresses	Pharmacy Address	Update		WAL-MART PHARMACY 572 1201 Stone Street Kilgore, TX 75662	WAL-MART PHARMACY 10-0572 1201 STONE RD KILGORE, TX 75662	2/15/2013 2:37 PM
Details	Name	Update		WAL-MART PHARMACY 572	WAL-MART PHARMACY 10-0572	2/15/2013 2:37 PM
Details	Comments	Insert				1/15/2013 9:46 AM
Details	Is Deleted	Insert			False	1/15/2013 9:46 AM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 572 1201 Stone Street Kilgore, TX 75662	1/15/2013 9:46 AM
Details	Name	Insert			WAL-MART PHARMACY 572	1/15/2013 9:46 AM