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CVS PHARMACY, INC.
CH0621770 CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
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Covered Entity Details
Entity Name
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
BAYSIDE COMMUNITY HOSPITAL
Type
HRSA-Funded Health Center
340B ID
CH0621770
Entity Address
200 HOSPITAL DRIVE
ANAHUAC, TX 77514
Grant Number
H80CS08788
Participating Start Date
9/1/2008
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06746
1514 N ALEXANDER
BAYTOWN, TX 77520
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
STEVEN GULARTE, CEO
(409) 267-3143
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2020
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