Pharmacy Details

WAL-MART PHARMACY 10-5764 - information as of 5/21/2025 12:51:59 AM

Name
WAL-MART PHARMACY 10-5764

Address

2401 AVONDALE HASLET ROAD
FORT WORTH, TX 76052

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	DSH450039	Tarrant County Hospital District d/b/a JPS Health Network		Disproportionate Share Hospital	1500 S Main Street		FORT WORTH	TX	07/01/2018		4/16/2018 5:12 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5764 2401 AVONDALE HASLET ROAD FORT WORTH, TX 76052	9/29/2017 6:44 AM
Details	Comments	Insert				6/12/2013 2:36 PM
Details	Is Deleted	Insert			False	6/12/2013 2:36 PM
Addresses	Pharmacy Address	Insert			WAL-MART PHARMACY 10-5764 2401 AVONDALE HASLET ROAD FORT WORTH, TX 76052	6/12/2013 2:36 PM
Details	Name	Insert			WAL-MART PHARMACY 10-5764	6/12/2013 2:36 PM