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SOUTHSIDE PHARMACY
FP78102 SOUTH TEXAS FAMILY PLANNING AND HEALTH CORPORATION
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Covered Entity Details
Entity Name
SOUTH TEXAS FAMILY PLANNING AND HEALTH CORPORATION
Subdivision Name
FAMILY PLANNING CLINIC AND MEN'S HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP78102
Entity Address
4455 S PADRE ISLAND DR
SUITE 29
CORPUS CHRISTI, TX 78411
Grant Number
FPHPA006521
Participating Start Date
4/1/2003
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
SOUTHSIDE PHARMACY
Pharmacy Address
6330 WEST LOOP S STE 700D
BELLAIRE, TX 77401-2928
Pharmacy Comments
Contract Details
Approval Date
4/13/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARTHA ZUNIGA, Chief Executive Officer
(361) 855-7333
Contract Pharmacy Representative
Green Rex, Executive Community Liaison
(713) 660-8888
Signed By Date
4/13/2015
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