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CVS PHARMACY, INC.
CHC08231-01 HOUSTON COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
HOUSTON COMMUNITY HEALTH CENTERS INC
Subdivision Name
Airline Women and Children's Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08231-01
Entity Address
5808 Airline Dr
Houston, TX 77076-4923
Grant Number
H80CS08231
Participating Start Date
7/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 05968
402 GRAY ST.
HOUSTON, TX 77002
Pharmacy Comments
Contract Details
Approval Date
7/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Moises Montez, CEO
(713) 343-5450
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/6/2020
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