340B Drug Pricing Program Database


Walgreens MFC #21373 - information as of 4/25/2025 6:09:56 PM


Walgreens MFC #21373

4100 Dale Earnhardt Way
200
Northlake, TX 76262



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH191301-00UNION GENERAL HOSPITAL Critical Access Hospital901 JAMES AVE
FARMERVILLELA01/01/2024 1/1/2024 12:01 AM
DetailsCAH371311-00JEFFERSON COUNTY HOSPITAL Critical Access Hospital9170 US Hwy 70 INTERSECTION HWY 70 & 81
WAURIKAOK07/01/2024 7/1/2024 12:01 AM
DetailsCAH451356-00MEMORIAL MEDICAL CENTER Critical Access Hospital815 N VIRGINIA STREET
PORT LAVACATX10/01/2024 10/1/2024 12:01 AM
DetailsCH060180Teche Action Board, TheTECHE ACTION CLINICHRSA-Funded Health Center1115 Weber St
FranklinLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018ATeche Action Board, TheTECHE ACTION CLINIC AT DULACHRSA-Funded Health Center189 MOZART STREET
HOUMALA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018BTeche Action Board, TheTECHE ACTION CLINIC AT EDGARDHRSA-Funded Health Center159 E 3rd St
EdgardLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018DTeche Action Board, TheTeche Action Clinic @ HoumaHRSA-Funded Health Center1014 W Tunnel Blvd
HoumaLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018ETeche Action Board, TheTeche Action Clinic @ ReserveHRSA-Funded Health Center471 Central Ave
ReserveLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018FTeche Action Board, TheWest St. Mary High School-Based Health CenterHRSA-Funded Health Center18333 Hwy 182 RM 505
BaldwinLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018GTeche Action Board, TheTeche Action Clinic @ Pierre PartHRSA-Funded Health Center3528 Hwy 70 South
Pierre PartLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018HTeche Action Board, TheTeche Action Clinic @ ThibodauxHRSA-Funded Health Center1709 Ridgefield Rd
ThibodauxLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018JTeche Action Board, TheTeche Action Clinic @ Morgan CityHRSA-Funded Health Center1124 7th St
Morgan CityLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018LTECHE ACTION BOARDTeche Action Clinic @ West St. John ElementaryHRSA-Funded Health Center2555 La Hwy 18
EdgardLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018PTECHE ACTION BOARDTeche Action Clinic @ St. James High SchoolHRSA-Funded Health Center22187 Highway 20
VacherieLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018QTECHE ACTION BOARDTeche Action Clinic @ GramercyHRSA-Funded Health Center827 N Pine St
GramercyLA04/01/2024 4/1/2024 12:01 AM
DetailsCH06018RTECHE ACTION BOARDTeche Action Clinic @Acadian Elementary SchoolHRSA-Funded Health Center1020 Saadi St
HoumaLA04/01/202401/01/20251/1/2025 12:01 AM
DetailsCH061610Coastal Health & WellnessAdministrationHRSA-Funded Health Center9850 Emmett F Lowry Expy
Texas CityTX10/01/2024 10/1/2024 12:01 AM
DetailsCH06161DCOASTAL HEALTH & WELLNESSCoastal Health & Wellness - Texas CityHRSA-Funded Health Center9850-C Emmett F. Lowry Expressway STE C103
Texas CityTX10/01/2024 10/1/2024 12:01 AM
DetailsCH06161ECOASTAL HEALTH & WELLNESSCoastal Health & Wellness - GalvestonHRSA-Funded Health Center4700 BROADWAY STREET STE 100
GALVESTONTX10/01/2024 10/1/2024 12:01 AM
DetailsCH06161GCOASTAL HEALTH & WELLNESSCoastal Health & Wellness - TCISD SBHC Calvin VincentHRSA-Funded Health Center1805 13th Ave N
Texas CityTX07/01/2024 7/1/2024 12:01 AM
DetailsCH0618980Rkm Primary CareRKM Primary CareHRSA-Funded Health Center11990 JACKSON STREET
CLINTONLA10/01/2024 10/1/2024 12:01 AM
DetailsCH061920DAVID RAINES COMMUNITY HEALTH CENTER, INC.DAVID RAINES COMMUNITY HEALTH CENTER, INC. - ShreveportHRSA-Funded Health Center1625 David Raines Rd
ShreveportLA01/01/2024 1/1/2024 12:01 AM
DetailsCH0627800GREAT SALT PLAINS HEALTH CENTER, INC.Great Salt Plains Health CenterHRSA-Funded Health Center405 S. Oklahoma Ave
CherokeeOK10/01/2024 10/1/2024 12:01 AM
DetailsCHC11298-00TRAVIS COUNTY HEALTHCARE DISTRICTCommUnityCare Kramer Administrative OfficesHRSA-Funded Health Center2115 KRAMER LN STE 100
AustinTX10/01/2023 10/1/2023 12:01 AM
DetailsCHC24197-01Health Services of North Texas, Inc.HSNT Denton Medical Center 4308HRSA-Funded Health Center4308 Mesa Dr
DentonTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC24197-03Health Services of North Texas, Inc.HSNT Denton South CenterHRSA-Funded Health Center3537 South I35E
Suite 210
DentonTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC24197-05Health Services of North Texas, Inc.HSNT Wylie Children's Medical ClinicHRSA-Funded Health Center303 S Highway 78
Ste 106
WylieTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC24197-07Health Services of North Texas, Inc.HSNT Denton Medical Center 4304HRSA-Funded Health Center4304 Mesa Drive
DentonTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC24197-08Health Services of North Texas , Inc.HSNT PlanoHRSA-Funded Health Center5501 Independence Pkwy
Ste 110
PlanoTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC24197-09Health Services of North Texas, Inc.HSNT Serve Denton CenterHRSA-Funded Health Center306 N Loop 288
Ste 200
DentonTX01/01/2024 1/1/2024 12:01 AM
DetailsCHC30719-00Healing Hands Ministries, IncHealing Hands Ministries DallasHRSA-Funded Health Center8515 Greenville Ave, Ste N-108 Dallas, TX 75243-7035
DallasTX10/01/2024 10/1/2024 12:01 AM
DetailsDSH190065BATON ROUGE GENERAL MEDICAL CENTERMid CityDisproportionate Share Hospital8585 Picardy Ave.
BATON ROUGELA10/01/2023 10/1/2023 12:01 AM
DetailsDSH190118DESOTO REGIONAL HEALTH SYSTEM Disproportionate Share Hospital207 JEFFERSON STREET
MANSFIELDLA01/01/2024 1/1/2024 12:01 AM
DetailsDSH370037SSM ST ANTHONY HOSPITAL Disproportionate Share Hospital1000 N Lee Ave
OKLAHOMA CITYOK07/01/2024 7/1/2024 12:01 AM
DetailsDSH370149St. Anthony Shawnee Hospital Disproportionate Share Hospital1102 W MacArthur St
SHAWNEEOK07/01/2024 7/1/2024 12:01 AM
DetailsDSH450388METHODIST HOSPITAL Disproportionate Share Hospital7700 FLOYD CURL DRIVE
SAN ANTONIOTX07/01/2025 4/11/2025 6:10 PM
DetailsRRC450023-00CITIZENS MEDICAL CENTER Rural Referral Center2701 HOSPITAL DRIVE
VICTORIATX10/01/202307/17/20237/17/2023 4:43 PM
DetailsRWI782071Alamo Area Resource Center Ryan White Part A303 N. Frio
San AntonioTX01/01/2024 1/1/2024 12:01 AM
DetailsSTD73069Community Nursing Center of Oklahoma City, LLC DBA Diversity Family HealthNorman LocationSexually Transmitted Diseases329 White Street
NormanOK01/01/2024 1/1/2024 12:01 AM
DetailsSTD77469Fort Bend County Health and Human Services Sexually Transmitted Diseases4520 Reading Road
RosenbergTX07/01/2025 4/15/2025 10:14 AM
DetailsSTD78207Alamo Area Resource Center Sexually Transmitted Diseases303 N. Frio St.
San AntonioTX01/01/2024 1/1/2024 12:01 AM
DetailsSTD782851SAN ANTONIO METROPOLITAN HEALTH DISTRICT Sexually Transmitted Diseases512 East Highland Blvd
Ste 150
SAN ANTONIOTX04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   7/12/2023 1:58 PM
DetailsIs DeletedInsert  False7/12/2023 1:58 PM
AddressesPharmacy AddressInsert  Walgreens MFC #21373 4100 Dale Earnhardt Way 200 Northlake, TX 762627/12/2023 1:58 PM
DetailsNameInsert  Walgreens MFC #213737/12/2023 1:58 PM