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LEGACY COMM HEALTH SERVICES PHARMACY SHA
CHC07502-00 Legacy Community Health Services, Inc.
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Covered Entity Details
Entity Name
Legacy Community Health Services, Inc.
Subdivision Name
Legacy Montrose Clinic
Type
HRSA-Funded Health Center
340B ID
CHC07502-00
Entity Address
1415 California St
Houston, TX 77006-2602
Grant Number
H80CS07502
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LEGACY COMM HEALTH SERVICES PHARMACY SHA
Pharmacy Address
6441 HIGH STAR DR STE 100
HOUSTON, TX 77074
Pharmacy Comments
Contract Details
Approval Date
4/1/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katy Caldwell, Executive Director
(832) 548-5050
Contract Pharmacy Representative
Legacy Community Health Services, Inc.
Karen Gurwitch, Sr VP of Pharmacy
(832) 548-5022
Signed By Date
4/1/2020
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