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GOODSENSE PHARMACY
RWII779010 Crossroads Virology
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Covered Entity Details
Entity Name
Crossroads Virology
Subdivision Name
Type
Ryan White Part B
340B ID
RWII779010
Entity Address
1403 Victoria Station Dr.
Victoria, TX 77901
Grant Number
X07HA00054
Participating Start Date
7/20/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GOODSENSE PHARMACY
Pharmacy Address
8042 WURZBACH RD
STE 150
SAN ANTONIO, TX 78229-3831
Pharmacy Comments
Contract Details
Approval Date
3/8/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Paige A Boehm, Clinic Manager
(361) 571-7956
Contract Pharmacy Representative
Goodsense Pharmacy
Rinkesh Shah, Pharmacy Manager
(210) 802-2640
Signed By Date
1/14/2019
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