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PREMIER PHARMACY
CH0627190 FRONTERA HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
FRONTERA HEALTHCARE NETWORK
Subdivision Name
FRONTERA HEALTHCARE NETWORK
Type
HRSA-Funded Health Center
340B ID
CH0627190
Entity Address
604 EAKER STREET
Suite
EDEN, TX 76837
Grant Number
H80CS08225
Participating Start Date
1/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY
Pharmacy Address
BABCOCK PHARMACY LLC
2425 BABCOCK RD
STE 108A
SAN ANTONIO, TX 78229
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cam Kleibrink, CEO
(325) 869-5500
Contract Pharmacy Representative
PREMIER PHARMACY
ROLANDO RAMON, MANAGER
(210) 298-9000
Signed By Date
10/15/2018
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