340B Drug Pricing Program Database


RECEPT PHARMACY #5 - information as of 4/23/2025 11:46:17 PM


RECEPT PHARMACY #5

1469 WEST STATE HIGHWAY 114
SUITE 598
GRAPEVINE, TX 76051



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH450068Memorial Hermann Texas Medical CenterMemorial Hermann Texas Medical CenterDisproportionate Share Hospital6411 Fannin St.
HoustonTX01/01/201906/26/20197/1/2019 6:32 PM
DetailsRWI76104TARRANT COUNTY PUBLIC HEALTHPREVENTIVE MEDICINE CLINICRyan White Part A1101 SOUTH MAIN STREET, SUITE 1500C
FORT WORTHTX01/01/2018 9/14/2022 3:16 PM
DetailsRWI76104TARRANT COUNTY PUBLIC HEALTHPREVENTIVE MEDICINE CLINICRyan White Part A1101 SOUTH MAIN STREET, SUITE 1500C
FORT WORTHTX01/01/201802/13/20192/13/2019 10:52 AM
DetailsRWI76104TARRANT COUNTY PUBLIC HEALTHPREVENTIVE MEDICINE CLINICRyan White Part A1101 SOUTH MAIN STREET, SUITE 1500C
FORT WORTHTX01/01/201802/13/20192/13/2019 10:53 AM
DetailsRWI76104ATarrant County Public HealthPreventive Medical ClinicRyan White Part A2596 E. Arkansas Lane
ArlingtonTX01/01/201804/01/20244/1/2024 12:01 AM
DetailsRWII76104TARRANT COUNTY PUBLIC HEALTHPREVENTIVE MEDICINE CLINICRyan White Part B1101 SOUTH MAIN STREET, SUITE 1500C
FORT WORTHTX01/01/201807/01/20247/1/2024 12:01 AM
DetailsSTD76014Tarrant County Public HealthSTD DivisionSexually Transmitted Diseases2596 E. Arkansas
ArlingtonTX01/01/2018 9/14/2022 3:18 PM
DetailsSTD761075TARRANT COUNTY PUBLIC HEALTHSTD DivisionSexually Transmitted Diseases1101 SOUTH MAIN STREET
Suite 1500A 		FORT WORTHTX01/01/2018 9/14/2022 3:19 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  RECEPT PHARMACY #5 1469 WEST STATE HIGHWAY 114 SUITE 598 GRAPEVINE, TX 760519/29/2017 6:44 AM
AddressesPharmacy AddressUpdate RECEPT PHARMACY #5 1469 WEST STATE HIGHWAY 114 GRAPEVINE, TX 76051RECEPT PHARMACY #5 1469 WEST STATE HIGHWAY 114 SUITE 598 GRAPEVINE, TX 760513/28/2013 4:25 PM
DetailsCommentsInsert   3/28/2013 4:25 PM
DetailsIs DeletedInsert  False3/28/2013 4:25 PM
AddressesPharmacy AddressInsert  RECEPT PHARMACY #5 1469 WEST STATE HIGHWAY 114 GRAPEVINE, TX 760513/28/2013 4:25 PM
DetailsNameInsert  RECEPT PHARMACY #53/28/2013 4:25 PM