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HITCHCOCK HOMETOWN PHARMACY
RWII77550 ACCESS CARE OF COASTAL TEXAS, Inc.
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Covered Entity Details
Entity Name
ACCESS CARE OF COASTAL TEXAS, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII77550
Entity Address
707 23rd Street
Galveston, TX 77550
Grant Number
X07HA00054
Participating Start Date
10/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HITCHCOCK HOMETOWN PHARMACY
Pharmacy Address
HITCHCOCK HOMETOWN PHARMACY LLC
8719 HIGHWAY 6
HITCHCOCK, TX 77563
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/25/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Lendon White, Executive Director
(409) 763-2437
Contract Pharmacy Representative
HITCHCOCK HOMETOWN PHARMACY
Nandan Kumar, Pharmacist
(409) 209-0847
Signed By Date
10/3/2019
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