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CH061949L LONE STAR CIRCLE OF CARE (Active)
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Main Details
Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care at Lake Aire Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009113
340B ID
CH061949L
Grant Number
H80CS04289
Additional Details
Current Program Status
Active
Registration Date
9/14/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/17/2009
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Lone Star Circle of Care
Jon Calvin, CEO
(512) 686-0523 Ext: 10451
Primary Contact
Lone Star Circle of Care
Corbin Ferrell, Director of Pharmacy Operations
(512) 686-0155 Ext: 3
Addresses
Street Address
2423 Williams Drive
Georgetown, TX 78628-3200
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/3/10 ADDED SUITE # TO SHIP ADD; 10/22/09 ADDED SHIP TO
05/03/2010
April 2025
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