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CH061949U LONE STAR CIRCLE OF CARE (Terminated)
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Main Details
Name
LONE STAR CIRCLE OF CARE
Subdivision Name
Lone Star Circle of Care Health Center at Taylor
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010527
340B ID
CH061949U
Grant Number
H80CS04289
Additional Details
Current Program Status
Terminated
Registration Date
5/25/2011
Participating Start Date
7/1/2011
Participating Approval Date
5/26/2011
Last Recertification Date
2/22/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
Lone Star Circle of Care
Rhonda Mundhenk, CEO
(512) 863-6643 Ext: 10136
Primary Contact
Lone Star Circle of Care
Corbin Ferrell, Director of Pharmacy Operations
(512) 686-0155 Ext: 3
Addresses
Street Address
305a Mallard Ln
Taylor, TX 76574-1208
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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