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WALGREEN CO.
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
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 03717
4841 MOUNT HOUSTON RD
HOUSTON, TX 77093
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
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
Walgreens
Sharon Huiett, Analyst, 340B Client Relationship
(847) 964-8687
Signed By Date
7/15/2020
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