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CEDRA PHARMACY
CHC28363-03 SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Subdivision Name
Tyler Care Clinic (Midtown)
Type
HRSA-Funded Health Center
340B ID
CHC28363-03
Entity Address
1300 Clinic Dr
Tyler, TX 75701-2119
Grant Number
H80CS28363
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CEDRA PHARMACY
Pharmacy Address
9669 N CENTRAL EXPY STE 190
DALLAS, TX 75231-5056
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kim Nesvig, CEO
(903) 212-7811 Ext: 7811
Contract Pharmacy Representative
Cedra Pharmacy
Mazen Karnaby, VP Managed Care
(917) 836-8886
Signed By Date
7/16/2018
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