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CRAWFORD PHARMACY
CH062360 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
Subdivision Name
CommuniCare Health Centers - West
Type
HRSA-Funded Health Center
340B ID
CH062360
Entity Address
1102 Barclay St
San Antonio, TX 78207
Grant Number
H80CS00672
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CRAWFORD PHARMACY
Pharmacy Address
145 W HART AVE STE 104
SAN ANTONIO, TX 78214-1491
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/7/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Nguyen, President & CEO
(210) 233-7070 Ext: 7886
Contract Pharmacy Representative
Crawford Pharmacy
Prem Kalidindi, Owner
(210) 881-0890
Signed By Date
7/17/2018
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