Pharmacy Details

WAL-MART PHARMACY 10-0288 - information as of 5/20/2025 1:35:48 AM

Name
WAL-MART PHARMACY 10-0288

Address

115 COBB MILL RD
WOODVILLE, TX 75979

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	CH061730	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - PORT ARTHUR	HRSA-Funded Health Center	2548 Memorial Blvd		Port Arthur	TX	07/01/2017	08/01/2017	2/26/2018 5:14 PM
Details	CH061730	GULF COAST HEALTH CENTER, INC.	GULF COAST HEALTH CENTER, INC. - PORT ARTHUR	HRSA-Funded Health Center	2548 Memorial Blvd		Port Arthur	TX	10/01/2018		10/1/2018 12:05 AM
Details	DSH450395	Memorial Medical Center-Livingston		Disproportionate Share Hospital	1717 Hwy 59 Bypass		Livingston	TX	01/01/2019	12/02/2020	2/22/2021 8:40 AM
Details	DSH450573	CHRISTUS JASPER MEMORIAL HOSPITAL		Disproportionate Share Hospital	1275 MARVIN HANCOCK DRIVE		JASPER	TX	03/05/2012	07/19/2017	8/7/2017 5:51 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0288 115 COBB MILL RD WOODVILLE, TX 75979	9/29/2017 6:44 AM
Details	Comments	Update				3/28/2013 4:25 PM
Details	Comments	Update				9/26/2012 10:41 AM
Addresses	Pharmacy Address	Update		Walmart Pharmacy # 288 115 Cobb Mill Road Woodville, TX 75979	WAL-MART PHARMACY 10-0288 115 COBB MILL RD WOODVILLE, TX 75979	9/26/2012 10:41 AM
Details	Name	Update		Walmart Pharmacy # 288	WAL-MART PHARMACY 10-0288	9/26/2012 10:41 AM
Details	Comments	Insert				2/2/2012 12:10 PM
Details	Is Deleted	Insert			False	2/2/2012 12:10 PM
Addresses	Pharmacy Address	Insert			Walmart Pharmacy # 288 115 Cobb Mill Road Woodville, TX 75979	2/2/2012 12:10 PM
Details	Name	Insert			Walmart Pharmacy # 288	2/2/2012 12:10 PM