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ASPCARES
CH06084A SU CLINICA FAMILIAR
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Covered Entity Details
Entity Name
SU CLINICA FAMILIAR
Subdivision Name
MULTI-SPECIALTY PRIMARY CARE
Type
HRSA-Funded Health Center
340B ID
CH06084A
Entity Address
1706 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Grant Number
H80CS00348
Participating Start Date
12/1/1992
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
1300 3RD ST
CORPUS CHRISTI, TX 78404-2208
Pharmacy Comments
Contract Details
Approval Date
10/19/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ELENA MARIN, CEO
(956) 365-6010 Ext: 1330
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
10/19/2020
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