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GOODSENSE PHARMACY
STD75092 Your Health Clinic
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Covered Entity Details
Entity Name
Your Health Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD75092
Entity Address
1521 Baker Road
Sherman, TX 75090
Grant Number
NH25PS005182
Participating Start Date
1/1/2016
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
GOODSENSE PHARMACY
Pharmacy Address
8042 WURZBACH RD
STE 150
SAN ANTONIO, TX 78229-3831
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gwynne Palmore, Executive Director
(903) 891-1972
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
1/15/2019
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