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CH061949AL 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 at the University of Houston
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027483
340B ID
CH061949AL
Grant Number
H80CS04289
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/7/2019
Last Recertification Date
2/5/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
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
4849 Calhoun Rd Ste 1001A
Houston, TX 77204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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