Pharmacy Details

WAL-MART PHARMACY 10-0752 - information as of 5/14/2025 12:13:04 AM

Name
WAL-MART PHARMACY 10-0752

Address

5200 FAIRMONT PARKWAY
PASADENA, TX 77505

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	01/01/2024	02/13/2025	4/7/2025 4:04 PM
Details	DSH450184	MEMORIAL HERMANN HOSPITAL SYSTEM	Memorial Hermann Southwest Hospital	Disproportionate Share Hospital	7600 Beechnut		Houston	TX	01/01/2015	04/01/2018	4/1/2018 12:00 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0752 5200 FAIRMONT PARKWAY PASADENA, TX 77505	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:26 PM
Details	Is Deleted	Insert			False	3/28/2013 4:26 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-0752 5200 FAIRMONT PARKWAY PASADENA, TX 77505	3/28/2013 4:26 PM
Details	Name	Insert			WAL-MART PHARMACY 10-0752	3/28/2013 4:26 PM