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UNITED PHARMACY #501
CH062910 COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH062910
Entity Address
1610 5th Street
LUBBOCK, TX 79401
Grant Number
H80CS00766
Participating Start Date
12/1/1992
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
UNITED PHARMACY #501
Pharmacy Address
2630 PARKWAY DRIVE
LUBBOCK, TX 79403
Pharmacy Comments
Contract Details
Approval Date
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Sullivan, CEO
(806) 765-2611 Ext: 1110
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/7/2020
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