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JACOBS FAMILY PHARMACY
CH060710 CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
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Covered Entity Details
Entity Name
CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
Subdivision Name
AccelHealth - DeLeon
Type
HRSA-Funded Health Center
340B ID
CH060710
Entity Address
1100 W Reynosa Ave
De Leon, TX 76444-1630
Grant Number
H80CS00124
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JACOBS FAMILY PHARMACY
Pharmacy Address
2701 AUSTIN AVE
BROWNWOOD, TX 76801-5834
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Esther Taylor, Chief Executive Officer
(254) 893-5895 Ext: 1023
Contract Pharmacy Representative
Jacob's Pharmacy
Tim Jacob, Pharmacist
(325) 646-2322
Signed By Date
1/15/2020
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