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CALIFORNIA PREMIER SERVICES INC.
CH063740 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
Subdivision Name
North Central Texas Community Health Care Center
Type
HRSA-Funded Health Center
340B ID
CH063740
Entity Address
200 MARTIN LUTHER KING, JR. BOULEVARD
WICHITA FALLS, TX 76301
Grant Number
H80CS00553
Participating Start Date
10/1/1994
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CALIFORNIA PREMIER SERVICES INC.
Pharmacy Address
407 MAIN ST. #3
MARBLE FALLS, TX 78654
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allen Patterson, CEO
(940) 397-2602
Contract Pharmacy Representative
Good Health, Inc
Todd Weber, Director, Government Programs & Strategic Initiatives
(203) 212-4717
Signed By Date
7/17/2018
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