340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
H-E-B, LP
CAH451303-00 LIMESTONE MEDICAL CENTER
Print
Covered Entity Details
Entity Name
LIMESTONE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451303-00
Entity Address
701 MCCLINTIC DR
GROESBECK, TX 76642
Medicare Provider Number
451303
Participating Start Date
7/1/2019
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
H-E-B, LP
Pharmacy Address
H-E-B PHARMACY WAREHOUSE
6520 FRATT RD
SAN ANTONIO, TX 78218
Pharmacy Comments
Contract Details
Approval Date
5/9/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/7/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry N. Price, CEO/ADMINISTRATOR
(254) 729-3281 Ext: 2100
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
4/12/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session