Pharmacy Details

CVS PHARMACY, INC. - information as of 4/28/2025 1:52:51 AM

Name
CVS PHARMACY, INC.

Address

DBA: CVS/PHARMACY # 06773
15411 WALLISVILLE RD.,
HOUSTON, TX 77049

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	CHC07502-00	Legacy Community Health Services, Inc.	Legacy Montrose Clinic	HRSA-Funded Health Center	1415 California St		Houston	TX	04/01/2025		4/1/2025 12:01 AM
Details	CHC08231-00	HOUSTON COMMUNITY HEALTH CENTERS INC	HOUSTON COMMUNITY HEALTH CENTER	HRSA-Funded Health Center	424 Hahlo St		Houston	TX	04/01/2021		4/1/2021 12:01 AM
Details	DSH450184	MEMORIAL HERMANN HOSPITAL SYSTEM	Memorial Hermann Southwest Hospital	Disproportionate Share Hospital	7600 Beechnut		Houston	TX	04/01/2021		4/1/2021 12:01 AM
Details	DSH450684	MEMORIAL HERMANN NORTHEAST HOSPITAL		Disproportionate Share Hospital	18951 N. Memorial Drive		Humble	TX	01/01/2020		1/1/2020 12:05 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:26 PM
Details	Is Deleted	Insert			False	3/28/2013 4:26 PM
Addresses	Pharmacy Address	Insert			CVS PHARMACY, INC. DBA: CVS/PHARMACY # 06773 15411 WALLISVILLE RD., HOUSTON, TX 77049	3/28/2013 4:26 PM
Details	Name	Insert			CVS PHARMACY, INC.	3/28/2013 4:26 PM