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AMAZON PHARMACY #001
CH060820 Community Health Service Agency, Inc. Of Hunt County, The
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Covered Entity Details
Entity Name
Community Health Service Agency, Inc. Of Hunt County, The
Subdivision Name
Carevide
Type
HRSA-Funded Health Center
340B ID
CH060820
Entity Address
4500 Wesley St
Greenville, TX 75401-5644
Grant Number
H80CS00675
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #001
Pharmacy Address
4500 S PLEASANT VALLEY RD STE 201
AUSTIN, TX 78744-2911
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Carter, CEO
(903) 455-5986
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/14/2019
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