340B Drug Pricing Program Database


CH06325AG El Centro Del Barrio (Terminated) - information as of 4/24/2025 11:10:38 PM

Main Details
El Centro Del Barrio
CentroMed SA Pediatrics
HRSA-Funded Health Center
BPS-H80-028391
CH06325AG
H80CS00758


Additional Details
Terminated
10/10/2019
1/1/2020
10/22/2019
2/11/2022

1/1/2023
Site closure

Contacts

CemrtoMed
Ernesto Gomez, President / CEO
(210) 334-3703

CentroMed
Don Macaulay, VP / Chief Operating Officer
(210) 334-3705

Addresses

7333 Barlite Blvd Ste 380
San Antonio, TX 78224-1359

CentroMed
3750 Commercial Avenue
San Antonio, TX 78221-3117


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

CentroMed South Park Pharmacy
918 Wagner Ave
San Antonio, TX 78211
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH063250ActiveBPS-H80-008146El Centro Del BarrioCentroMed Southside Medical Clinic3750 Commercial Ave San AntonioTX
CH06325AActiveBPS-H80-002475El Centro Del BarrioCENTROMED SOUTH PARK MEDICAL CLINIC6315 S Zarzamora St San AntonioTX
CH06325AAActiveBPS-H80-023383El Centro Del BarrioCENTROMED FAMILY MEDICINE CLINIC226 North Union Avenue New BraunfelsTX
CH06325ABActiveBPS-H80-026012El Centro Del BarrioCENTROMED FAMILY FIRST CLINIC9135 Schaefer Road ConverseTX
CH06325ACActiveBPS-H80-028115El Centro Del BarrioCentroMed SA Pediatrics9793 Culebra Rd San AntonioTX
CH06325ADActiveBPS-H80-028116El Centro Del BarrioCentroMed SA Pediatrics17323 Interstate 35 N SchertzTX
CH06325AETerminatedBPS-H80-028114El Centro Del BarrioCentroMed SA Pediatrics730 N Main Ave Ste 224 San AntonioTX
CH06325AFTerminatedBPS-H80-028112El Centro Del BarrioCentroMed SA Pediatrics20627 Huebner Hills Road A101 San AntonioTX
CH06325AGTerminatedBPS-H80-028391El Centro Del BarrioCentroMed SA Pediatrics7333 Barlite Blvd Ste 380 San AntonioTX
CH06325AHTerminatedBPS-H80-028113El Centro Del BarrioCentroMed SA Pediatrics315 N San Saba San AntonioTX
CH06325AJActiveBPS-H80-034756EL CENTRO DEL BARRIOCentroMed SA Pediatrics3327 Research Plaza San AntonioTX
CH06325AKActiveBPS-H80-034775EL CENTRO DEL BARRIOCentroMed SA Pediatrics94 Briggs St San AntonioTX
CH06325ALActiveBPS-H80-034776EL CENTRO DEL BARRIOCentroMed SA Pediatrics123 Stone Oak Loop San AntonioTX
CH06325AMActiveBPS-H80-034777EL CENTRO DEL BARRIOCentroMed SA Pediatrics580 Cibolo Valley Dr CiboloTX
CH06325ANTerminatedBPS-H80-034778EL CENTRO DEL BARRIOCentroMed SA Pediatrics9150 Huebner Rd San AntonioTX
CH06325APActiveBPS-H80-036199EL CENTRO DEL BARRIOCentroMed - Lifetime Recovery10290 Southton RoadBuilding 4San AntonioTX
CH06325AQActiveBPS-H80-038459EL CENTRO DEL BARRIOCentroMed Women's Health Clinic7386 Barlite Blvd San AntonioTX
CH06325ARActiveBPS-H80-038723EL CENTRO DEL BARRIOCentroMed SA Pediatrics1314 Guadalupe St San AntonioTX
CH06325ASActiveBPS-H80-033733EL CENTRO DEL BARRIOCentroMed City Center Clinic207 E Evergreen St San AntonioTX
CH06325CActiveBPS-H80-008429El Centro Del BarrioCENTROMED SA PEDIATRICS1034 W County Line Rd New BraunfelsTX
CH06325DActiveBPS-H80-002250El Centro Del BarrioCENTROMED MARIA CASTRO FLORES CLINIC7315 SOUTH LOOP 1604 WEST SOMERSETTX
CH06325ETerminatedBPS-H80-008428El Centro Del BarrioCENTROMED SAN ANTONIO STREET CLINIC1614 San Antonio Street New BraunfelsTX
CH06325FActiveBPS-H80-011884El Centro Del BarrioCentroMed Noemi Galvan Eling Clinic5542 Walzem Rd San AntonioTX
CH06325GActiveBPS-H80-003530El Centro Del BarrioCENTROMED WOMEN'S SHELTER CLINIC - LA PALOMA DE PAZ7404 W US HIGHWAY 90BUILDING 37SAN ANTONIOTX
CH06325HTerminatedBPS-H80-007936El Centro Del BarrioCentroMed Santa Rosa Clinic/Ryan White Clinic315 N. SAN SABA SAN ANTONIOTX
CH06325KTerminatedBPS-H80-001369El Centro Del BarrioCENTROMED SW MILITARY DRIVE WIC910 SW Military Dr San AntonioTX
CH06325LActiveBPS-H80-001822El Centro Del BarrioCENTROMED SOUTH PARK DENTAL CLINIC910 Wagner Ave San AntonioTX
CH06325MTerminatedBPS-H80-005364El Centro Del BarrioCENTROMED RESIDENTIAL TREATMENT CENTER CLINIC4040 High Ridge Cir San AntonioTX
CH06325QTerminatedBPS-H80-000245El Centro Del BarrioCENTROMED CHILDREN'S SHELTER CLINIC2939 W WOODLAWN SAN ANTONIOTX
CH06325RTerminatedBPS-H80-003614El Centro Del BarrioCENTROMED RESPITE CARE SHELTER CLINIC605 Belknap Pl San AntonioTX
CH06325STerminatedBPS-H80-001490El Centro Del BarrioCENTROMED RESPITE DAY CARE510 Belknap Pl San AntonioTX
CH06325UActiveBPS-H80-002742El Centro Del BarrioCENTROMED PALO ALTO CLINIC9011 Poteet Jourdanton Fwy San AntonioTX
CH06325VTerminatedBPS-H80-009213El Centro Del BarrioCENTROMED HOUSE OF HOPE CLINIC256 S Krueger Ave New BraunfelsTX
CH06325WActiveBPS-H80-008185El Centro Del BarrioCENTROMED SARAH E DAVIDSON CLINIC1 Haven for Hope WayBuilding 1San AntonioTX
CH06325XTerminatedBPS-H80-010952El Centro Del BarrioCENTROMED CITY BASE CLINIC3127 SE MILITARY STE 101 SAN ANTONIOTX
CH06325YTerminatedBPS-H80-017368EL CENTRO DEL BARRIOCENTROMED MEDINA BASE CLINIC5750 Medina Base Road San AntonioTX
CH06325ZActiveBPS-H80-019431El Centro Del BarrioCENTROMED BERTO GUERRA JR CLINIC5439 Ray Ellison Boulevard San AntonioTX
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH063250ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CH063250AETNA SPECIALTY PHARMACY, LLC503 SUNPORT LN
ORLANDOFL32809-787407/01/2019 01/14/2022
CH063250AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10315 N. SAN SABA STE. 110
SAN ANTONIOTX7820706/14/2023  
CH063250AVITA DRUGS, LLC D/B/A AVITA PHARMACY 102602 N MAIN AVE
SAN ANTONIOTX7821206/14/2023  
CH063250AVITA DRUGS, LLC D/B/A AVITA PHARMACY 106406 MCPHERSON RD STE 6
LAREDOTX7804101/01/2024  
CH06325AAVITA DRUGS, LLC D/B/A AVITA PHARMACY 10315 N. SAN SABA STE. 110
SAN ANTONIOTX7820710/01/2024  
CH06325AAAVITA DRUGS, LLC D/B/A AVITA PHARMACY 102602 N MAIN AVE
SAN ANTONIOTX7821210/01/2024  
CH063250AVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303401/01/2024  
CH06325ALAVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303410/01/2024  
CH063250AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080801/01/2024  
CH063250BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2019  
CH063250CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2021  
CH063250CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2019  
CH063250CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/01/2019  
CH063250CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2021  
CH063250CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2021  
CH063250CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/01/2019  
CH063250CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2021  
CH063250CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2021  
CH063250CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2021  
CH063250CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CH063250CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/01/2021  
CH063250CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10843 19244 MCDONALD ST.
LYTLETX7805207/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07716 1836 PAT BOOKER RD
UNIVERSAL CITYTX7814807/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05512 7208 FM 78
SAN ANTONIOTX7824407/01/2019  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 6955 8027 KITTY HAWK
CONVERSETX7810907/01/2019  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10597 8731 POTEET JOURDANTON FREEWAY
SAN ANTONIOTX7822407/01/2019  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10051 2920 EAST SOUTHCROSS BLVD.
SAN ANTONIOTX7821107/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07307 2018 CULEBRA ROAD
SAN ANTONIOTX7820107/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07303 5506 WALZEM RD
SAN ANTONIOTX7821807/01/2019 02/01/2023
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07551 2801 NOGALITOS
SAN ANTONIOTX7822507/01/2019 06/05/2023
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16238 2810 SW MILITARY DR
SAN ANTONIOTX7822407/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07403 103 S.W. MILITARY DR.
SAN ANTONIOTX7822107/01/2019  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10141 5975 OLD PEARSALL RD.
SAN ANTONIOTX7824207/01/2019  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01201 4730 FREDRICKSBURG RD.
SAN ANTONIOTX7822901/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07831 6539 DE ZAVALA RD
SAN ANTONIOTX7824901/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07808 4805 MEDICAL DR
SAN ANTONIOTX7822901/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07299 7202 SAN PEDRO
SAN ANTONIOTX7821601/01/2020 09/15/2022
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10264 1118 SOUTH WW WHITE RD.
SAN ANTONIOTX7822001/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02263 22202 BULVERDE RD.
SAN ANTONIOTX7826104/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 5858 15038 NACOGDOCHES RD.
SAN ANTONIOTX7824704/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10844 9014 NORTH STATE HWY 16
POTEETTX7806504/01/2020 02/04/2020
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16972 3227 SE MILITARY DR
SAN ANTONIOTX7822304/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07725 343 W HOUSTON ST STE 106
SAN ANTONIOTX7820504/01/2020 06/23/2022
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07306 6915 W AVE
CASTLE HILLSTX7821304/01/2020  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 17645 1223 AUSTIN HWY
SAN ANTONIOTX7820904/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05857 7603 CULEBRA
SAN ANTONIOTX7825104/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07832 9838 POTRANCO RD
SAN ANTONIOTX7825104/01/2020  
CH063250CVS PHARMACY, INC.CVS/PHARMACY # 10179 300 EAST COMMERCE ST.
SAN ANTONIOTX7820504/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10347 9686 MARBACH ROAD
SAN ANTONIOTX7824504/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08389 8602 HUEBNER RD
SAN ANTONIOTX7824004/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07301 3027 NACOGDOCHES RD
SAN ANTONIOTX7821704/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07724 10225 WURZBACH RD
SAN ANTONIOTX7823007/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 7000 5301 ALAMO PARKWAY
SAN ANTONIOTX7825307/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 01057 9140 GUILBEAU
SAN ANTONIOTX7825007/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07816 2693 FM 3009
SCHERTZTX7815407/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10485 919 WURZBACH PKWY
SAN ANTONIOTX7823107/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07829 16580 HUEBNER RD
SAN ANTONIOTX7824807/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07460 14900 JONES MALTSBERGER RD
SAN ANTONIOTX7824707/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 2391 15607 CHASE HILL BLVD.
SAN ANTONIOTX7825607/01/2020  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 17095 8223 STATE HIGHWAY 151
SAN ANTONIOTX7824507/01/2020  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 17483 5355 W LOOP 1604 N
SAN ANTONIOTX7825307/01/2020  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16853 4522 FREDERICKSBURG RD
BALCONES HEIGHTSTX7820107/01/2020  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 17518 746 NW LOOP 410
SAN ANTONIOTX7821607/01/2020  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 5872 22135 IH-10 W
SAN ANTONIOTX7825707/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07341 9285 CULEBRA AVE
SAN ANTONIOTX7825107/01/2020  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02580 7442 S. STAPLES ST.
CORPUS CHRISTITX7841301/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07417 11820 ELAM RD
BALCH SPRINGSTX7518001/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 06892 2402 GUADALUPE ST, UNIT B
AUSTINTX7870501/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10842 744 US HWY 181 NORTH
FLORESVILLETX7811401/01/2021  
CH063250CVS PHARMACY, INC.CVS/PHARMACY # 4880 805 W. BUSINESS HWY 380
DECATURTX7623401/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 4109 12835 POTRANCO RD
SAN ANTONIOTX7825301/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08978 20203 STONE OAK PKWY.
SAN ANTONIOTX7825801/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00357 1701 E. PARMER LN.
AUSTINTX7875401/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 5647 4101 EAST 42ND ST.
ODESSATX7976201/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10403 8049 FM 2673
CANYON LAKETX7813307/01/2021  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 17486 135 CREEKSIDE WAY
NEW BRAUNFELSTX7813007/01/2021  
CH063250CVS PHARMACY, INC.CVS/PHARMACY #10947 1910 STATE HIGHWAY 46 W
NEW BRAUNFELSTX7813207/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08990 12980 BANDERA RD
HELOTESTX7802307/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10579 4600 BROADWAY STREET
ALAMO HEIGHTSTX7820907/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 10311 2502 MARSHALL RD.
SAN ANTONIOTX7825907/01/2021 02/28/2023
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08386 4100 DE ZAVALA RD
SAN ANTONIOTX7824907/01/2021 10/17/2023
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 03894 120 E. SONTERRA BLVD.
SAN ANTONIOTX7825807/01/2021  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16038 13700 SAN PEDRO AVE
SAN ANTONIOTX7823207/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10750 9050 FM 1560 N
SAN ANTONIOTX7825407/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07784 110 S KING ST
SEGUINTX7815507/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10905 13343 CULEBRA ROAD
SAN ANTONIOTX7825307/01/2021  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16908 11311 BANDERA RD
SAN ANTONIOTX7825007/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 08325 19202 BLANCO RD
SAN ANTONIOTX7825807/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07207 210 NORTH BUSINESS IH 35
NEW BRAUNFELSTX7813007/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10633 3502 SE MILITARY DR.
SAN ANTONIOTX7822307/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07309 6470 N NEW BRAUNFELS AVE
SAN ANTONIOTX7820907/01/2021  
CH063250CVS PHARMACY, INC.CVS/PHARMACY # 10356 409 VETERANS BOULEVARD
DEL RIOTX7884007/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07728 112 MAIN ST
KERRVILLETX7802807/01/2021  
CH063250CVS PHARMACY, INC.CVS PHARMACY # 16559 8234 AGORA PKWY
SELMATX7815407/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #11328 1915 BROADWAY ST STE 101
SAN ANTONIOTX7821507/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #11045 5334 FM 1103
SCHERTZTX7810807/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10541 2020 S. WALNUT AVE.
NEW BRAUNFELSTX7813007/01/2021  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY # 7187 17307 BULVERDE RD.
SAN ANTONIOTX7824707/01/2021  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 05651 1602 EAST HIGHWAY 83
WESLACOTX7859604/01/2022  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07623 4610 FRANKFORD RD
DALLASTX7528704/01/2022  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00248 2121 W. TRENTON RD.
EDINBURGTX7853904/01/2022  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10979 17900 WEST LAKE HOUSTON PARKWAY
HUMBLETX7734604/01/2022  
CH063250CVS PHARMACY, INC.DBA CVS/PHARMACY #10595 200 CIBOLO VALLEY DR.
CIBOLOTX7810810/01/2022  
CH063250CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07428 8317 LOUETTA RD
SPRINGTX7737901/01/2023  
CH06325GCVS PHARMACY, INC.DBA CVS/PHARMACY #10347 9686 MARBACH ROAD
SAN ANTONIOTX7824510/01/2024  
CH06325ANCVS PHARMACY, INC.DBA CVS/PHARMACY #10597 8731 POTEET JOURDANTON FREEWAY
SAN ANTONIOTX7822410/01/2024 04/01/2025
CH06325WCVS PHARMACY, INC.DBA CVS/PHARMACY # 10141 5975 OLD PEARSALL RD.
SAN ANTONIOTX7824210/01/2024  
CH06325AJCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05512 7208 FM 78
SAN ANTONIOTX7824410/01/2024  
CH06325DCVS PHARMACY, INC.CVS PHARMACY # 16238 2810 SW MILITARY DR
SAN ANTONIOTX7822410/01/2024  
CH06325FCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07403 103 S.W. MILITARY DR.
SAN ANTONIOTX7822110/01/2024  
CH063250CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CH063250CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2020  
CH063250DOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654001/01/2019  
CH063250EXACT CARE PHARMACYDDCRX, LLC 2701 HIGHPOINT OAKS DR STE 100
LEWISVILLETX75067-389604/01/2021 02/15/2023
CH063250EXACT CARE PHARMACY, LLC8333 ROCKSIDE RD
CLEVELANDOH4412504/01/2021 02/15/2023
CH063250H-E-B, LPH-E-B PHARMACY WAREHOUSE 6520 FRATT RD
SAN ANTONIOTX7821810/01/2019 07/13/2023
CH063250HEB PHARMACY #0846818 S. ZARZAMORA
SAN ANTONIOTX7822410/01/2019  
CH06325AKHEB PHARMACY #0846818 S. ZARZAMORA
SAN ANTONIOTX7822410/01/2024  
CH063250HEB PHARMACY #2946580 FM 78
SAN ANTONIOTX7824410/01/2019  
CH06325CHEB PHARMACY #2946580 FM 78
SAN ANTONIOTX7824410/01/2024  
CH063250HEB PHARMACY #3846030 MONTGOMERY RD
SAN ANTONIOTX7823910/01/2019  
CH06325AMHEB PHARMACY #3846030 MONTGOMERY RD
SAN ANTONIOTX7823910/01/2024  
CH063250HEB PHARMACY #427735 SW MILITARY DR
SAN ANTONIOTX7822110/01/2019  
CH06325APHEB PHARMACY #427735 SW MILITARY DR
SAN ANTONIOTX7822110/01/2024  
CH063250HEB PHARMACY #678302 VALLEY HI DR
SAN ANTONIOTX7822710/01/2019  
CH06325AHHEB PHARMACY #678302 VALLEY HI DR
SAN ANTONIOTX7822710/01/2024 04/01/2025
CH063250HEB Pharmacy #7016520 Fratt Road
San AntonioTX7821810/01/2019 07/13/2023
CH063250HEB PHARMACY WAREHOUSE 208H-E-B, LP 5311 DIETRICH RD STE 100
SAN ANTONIOTX7821907/13/2023  
CH063250HEB SPECIALTY PHARMACY #7013503 FREDERICKSBURG RD STE 450
SAN ANTONIOTX7820110/01/2020  
CH063250LAUREL HEIGHTS PHARMACY2602 N MAIN AVE
SAN ANTONIOTX7821201/01/2020 06/12/2023
CH063250LIFECARE GARZA PHARMACY4500 S PLEASANT VALLEY RD STE 100
AUSTINTX7874401/01/2020  
CH063250LIFECARE PHARMACY315 N. SAN SABA STE 110
SAN ANTONIOTX7820701/01/2020 06/12/2023
CH063250LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245301/01/2024  
CH063250PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999210/01/2020 10/07/2022
CH063250PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2019  
CH063250PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2859 7950 FLOYD CURL DR. STE #106
SAN ANTONIOTX7822904/01/2020  
CH063250PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021  
CH063250PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/01/2021  
CH063250PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021  
CH063250RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2019  
CH063250RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2019  
CH063250WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/01/2020  
CH063250WAL-MART PHARMACY 10-13131200 S.E. MILITARY DR
SAN ANTONIO (S)TX7821407/01/2019  
CH06325UWAL-MART PHARMACY 10-13131200 S.E. MILITARY DR
SAN ANTONIO (S)TX7821410/01/2024  
CH063250WAL-MART PHARMACY 10-31124096 N. FOSTER RD
SAN ANTONIOTX7824407/01/2019  
CH063250WAL-MART PHARMACY 10-51448315 FM 78
CONVERSETX7810907/01/2019  
CH06325ABWAL-MART PHARMACY 10-51448315 FM 78
CONVERSETX7810910/01/2024  
CH063250WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/01/2020  
CH063250WALGREEN CO  710 OVILLA ROAD
WAXAHACHIETX7516703/05/2012 07/08/2015
CH063250WALGREEN CO.DBA: WALGREENS # 09394 1210 N IH35 BUSINESS LOOP
NEW BRAUNFELSTX7813011/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 10393 1610 STATE HWY 46 WEST
NEW BRAUNFELSTX78132-473711/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS #11928 5960 FM 1103
NEW BRAUNFELSTX7813211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 06337 1160 S BUSINESS IH 35
NEW BRAUNFELSTX7813011/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07939 9903 POTRANCO RD
SAN ANTONIOTX7825111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 09615 3030 GOLIAD RD
SAN ANTONIOTX78223-395911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 02458 7802 WURZBACH ROAD
SAN ANTONIOTX7822911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 09180 11103 W MILITARY DR
SAN ANTONIOTX7825111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07371 7019 S ZARZAMORA ST
SAN ANTONIOTX78224-114111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07571 10673 CULEBRA RD
SAN ANTONIOTX78251-134611/22/2011 11/11/2019
CH063250WALGREEN CO.DBA: WALGREENS #12479 121 N. ZARZAMORA ST.
SAN ANTONIOTX78207-373911/22/2011 11/14/2023
CH063250WALGREEN CO.DBA: WALGREENS #11276 502 NEW VALLEY HI
SAN ANTONIOTX7822711/22/2011  
CH063250WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21214 660 N MAIN AVE STE 101
SAN ANTONIOTX7820511/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03563 7103 MARBACH ROAD
SAN ANTONIOTX7822711/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03506 6363 RITTIMAN RD
SAN ANTONIOTX7821811/22/2011 05/07/2025
CH063250WALGREEN CO.DBA: WALGREENS # 03141 1105 GOLIAD ROAD
SAN ANTONIOTX7822311/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03140 410 W. CYPRESS ST.
SAN ANTONIOTX7821211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03224 6901 SAN PEDRO AVE
SAN ANTONIOTX78216-620611/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 02943 2710 NOGALITOS
SAN ANTONIOTX7822511/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS #15461 1560 BANDERA ROAD
SAN ANTONIOTX7822811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03734 8202 CULEBRA RD
SAN ANTONIOTX7825111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03368 1581 AUSTIN HIGHWAY
SAN ANTONIOTX7821811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 02755 3065 RIGSBY AVE
SAN ANTONIOTX7822211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03634 3326 FREDERICKSBURG ROAD
SAN ANTONIOTX7820111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 04552 4703 W. COMMERCE ST.
SAN ANTONIOTX7823711/22/2011 10/13/2016
CH063250WALGREEN CO.DBA: WALGREENS # 04160 2200 E. HOUSTON ST
SAN ANTONIOTX7820211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03354 1106 CULEBRA
SAN ANTONIOTX7820111/22/2011 11/11/2019
CH063250WALGREEN CO.DBA: WALGREENS # 04934 6017 INGRAM ROAD
SAN ANTONIOTX7823811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03562 9080 MARBACH ROAD
SAN ANTONIOTX7824511/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03996 5760 WALZEM RD
WINDCRESTTX7821811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 05964 3401 SAN PEDRO
SAN ANTONIOTX7821211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 06335 14025 NACOGDOCHES RD
SAN ANTONIOTX78247-191811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 05424 138 SW MILITARY DRIVE
SAN ANTONIOTX7822111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 01194 8530 FM 78
CONVERSETX7810911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03083 10650 TOEPPERWEIN RD
CONVERSETX7810911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS #13086 1944 S. SEGUIN AVE.
NEW BRAUNFELSTX7813011/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07922 11658 IH 35 NORTH
SAN ANTONIOTX78233-530511/22/2011 10/14/2021
CH063250WALGREEN CO.DBA: WALGREENS # 07214 20800 US 281 NORTH
SAN ANTONIOTX7825811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07923 22114 BULVERDE ROAD
SAN ANTONIOTX7825911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 07308 4351 THOUSAND OAKS DRIVE
SAN ANTONIOTX78217-210111/22/2011 11/12/2019
CH063250WALGREEN CO.DBA: WALGREENS #12519 1902 N LOOP 1604 W
SAN ANTONIOTX7824811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS #12520 300 E. HOUSTON ST.
SAN ANTONIOTX78205-181611/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS #11520 13619 BABCOCK RD.
SAN ANTONIOTX7824911/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03504 6393 BABCOCK RD
SAN ANTONIOTX7824011/22/2011 01/22/2025
CH063250WALGREEN CO.DBA: WALGREENS #11971 20226 STONE OAK PKWY.
SAN ANTONIOTX7825811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03804 7655 TEZEL RD
SAN ANTONIOTX7825011/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 04274 2425 THOUSAND OAKS DRIVE
SAN ANTONIOTX7823211/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 04551 11707 HUEBNER ROAD
SAN ANTONIOTX7823011/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03505 6635 BANDERA RD
SAN ANTONIOTX7823811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 03571 14505 NW MILITARY HWY
SHAVANO PARKTX7823111/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 00662 13430 SAN PEDRO AVE
SAN ANTONIOTX7821611/22/2011 10/13/2016
CH063250WALGREEN CO.DBA: WALGREENS # 04374 10411 WEST AVENUE
SAN ANTONIOTX7821311/22/2011 05/07/2025
CH063250WALGREEN CO.DBA: WALGREENS # 04838 19203 STONE OAK PKWY
SAN ANTONIOTX7825811/22/2011  
CH063250WALGREEN CO.DBA: WALGREENS # 05963 3801 FM 3009
SCHERTZTX7815411/22/2011  
CH063250WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16485 7302 LOUIS PASTEUR DR STE 104
SAN ANTONIOTX7822901/01/2017  
CH063250WALGREEN CO.DBA: WALGREENS #15932 901 BITTERS RD
SAN ANTONIOTX7821601/01/2017  
CH063250WALGREEN CO.DBA: WALGREENS # 04552 4703 W. COMMERCE ST.
SAN ANTONIOTX7823710/01/2020  
CH063250WALGREEN CO.DBA:WALGREENS #10787 12352 FM 1957
SAN ANTONIOTX7825307/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 09697 10003 W LOOP 1604 N
SAN ANTONIOTX7825407/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 06537 14882 BLANCO ROAD
SAN ANTONIOTX7821607/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 05765 1223 S MAIN ST
BOERNETX7800607/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 04550 639 E. HOPKINS ST.
SAN MARCOSTX7866607/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS #11521 10858 WURZBACH RD.
SAN ANTONIOTX78230-243407/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS #11725 2070 W. OAKLAWN RD.
PLEASANTONTX7806407/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS #12716 12020 CULEBRA RD
SAN ANTONIOTX7825307/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 09810 1357 EAST COURT STREET
SEGUINTX78155-513007/01/2021  
CH063250WALGREEN CO.DBA: WALGREENS # 02944 7423 BROADWAY ST
SAN ANTONIOTX7820907/01/2021  
CH063250WALGREEN CO.DBA:WALGREENS #15621 25215 INTERSTATE10 W
SAN ANTONIOTX7825704/01/2022  
CH063250WALGREEN CO.DBA: WALGREENS #13940 26482 US HIGHWAY 281 N
SAN ANTONIOTX7825804/01/2022  
CH063250WALGREEN CO.DBA: WALGREENS # 06336 10718 BANDERA ROAD
SAN ANTONIOTX7825004/01/2022  
CH06325ACWALGREEN CO.DBA: WALGREENS # 02458 7802 WURZBACH ROAD
SAN ANTONIOTX7822910/01/2024  
CH06325HWALGREEN CO.DBA: WALGREENS # 05424 138 SW MILITARY DRIVE
SAN ANTONIOTX7822110/01/2024 04/01/2025
CH06325LWALGREEN CO.DBA: WALGREENS # 07371 7019 S ZARZAMORA ST
SAN ANTONIOTX78224-114110/01/2024  
CH06325ADWALGREEN CO.DBA: WALGREENS # 06335 14025 NACOGDOCHES RD
SAN ANTONIOTX78247-191810/01/2024  
CH063250Walgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200 		NorthlakeTX7626201/01/2022  
CH063250WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2020 09/20/2021
CH063250WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2020  
CH063250WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2020  
CH063250WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2020  
CH063250WALMART PHARMACY 10-31068538 IH-35 SOUTH
SAN ANTONIOTX7821107/01/2019  
CH06325ZWALMART PHARMACY 10-31068538 IH-35 SOUTH
SAN ANTONIOTX7821110/01/2024  
CH063250WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH063250Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated1/1/2023 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 11/4/2022 12:00:00 AM11/28/2022 12:55 PM
DetailsStateUpdateTermination RequestActiveTo Be Terminated11/28/2022 12:55 PM
TerminationsTermination DateUpdateTermination Request 1/1/2023 12:00:00 AM11/28/2022 12:55 PM
TerminationsTermination Effective DateUpdateTermination Request 11/17/2022 12:00:00 AM11/28/2022 12:55 PM
TerminationsTermination ReasonUpdateTermination Request Site closure11/28/2022 12:55 PM
AddressesShipping AddressInsertRecertification CentroMed South Park Pharmacy 918 Wagner Ave San Antonio, TX 782112/11/2022 2:23 PM
DetailsLast Recertification DateUpdateRecertification2/2/2021 5:39:33 PM2/11/2022 2:23:48 PM2/11/2022 2:23 PM
DetailsLast Recertification DateUpdateRecertification1/28/2020 9:55:34 AM2/2/2021 5:39:33 PM2/2/2021 5:39 PM
DetailsLast Recertification DateUpdateRecertification 1/28/2020 9:55:34 AM1/28/2020 9:55 AM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration Gomez, Ernesto President / CEO CemrtoMed 210334370310/22/2019 11:01 AM
Details340B IDUpdateNew Registration CH06325AG10/22/2019 11:01 AM
DatesParticipating Approval DateUpdateNew Registration 10/22/2019 11:01:28 AM10/22/2019 11:01 AM
DetailsStateUpdateNew RegistrationPendingApproved10/22/2019 11:01 AM
DatesSigned By DateUpdateNew Registration 10/11/2019 11:15:36 AM10/22/2019 11:01 AM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM10/22/2019 11:01 AM
AddressesMain AddressInsertNew Registration  7333 Barlite Blvd Ste 380 San Antonio, TX 78224-135910/10/2019 2:51 PM
AddressesBilling AddressInsertNew Registration CentroMed 3750 Commercial Avenue San Antonio, TX 78221-311710/10/2019 2:51 PM
ContactsAuthorizing OfficialInsertNew Registration Gomez, Ernesto President / CEO CemrtoMed 210334370310/10/2019 2:51 PM
ContactsPrimary ContactInsertNew Registration Macaulay, Don VP / Chief Operating Officer CentroMed 210334370510/10/2019 2:51 PM
DetailsLast Recertification DateInsertNew Registration  10/10/2019 2:51 PM
DetailsGrant NumberInsertNew Registration H80CS0075810/10/2019 2:51 PM
Details340B IDInsertNew Registration  10/10/2019 2:51 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/10/2019 2:51 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/10/2019 2:51 PM
DetailsMedicare Provider NumberInsertNew Registration  10/10/2019 2:51 PM
DetailsEntity NameInsertNew Registration El Centro Del Barrio10/10/2019 2:51 PM
DetailsProgram CodeInsertNew Registration CH10/10/2019 2:51 PM
DetailsEntity SubnameInsertNew Registration CentroMed SA Pediatrics10/10/2019 2:51 PM
DatesParticipating Approval DateInsertNew Registration  10/10/2019 2:51 PM
DetailsStateInsertNew Registration Pending10/10/2019 2:51 PM
DatesRegistration DateInsertNew Registration 10/10/2019 2:51:07 PM10/10/2019 2:51 PM
DatesSigned By DateInsertNew Registration  10/10/2019 2:51 PM
DatesStart DateInsertNew Registration  10/10/2019 2:51 PM
TerminationsTermination CommentsInsertNew Registration  10/10/2019 2:51 PM
TerminationsTermination DateInsertNew Registration  10/10/2019 2:51 PM
TerminationsTermination Effective DateInsertNew Registration  10/10/2019 2:51 PM
TerminationsTermination ReasonInsertNew Registration  10/10/2019 2:51 PM