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CVS PHARMACY, INC.
CHC08231-00 HOUSTON COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
HOUSTON COMMUNITY HEALTH CENTERS INC
Subdivision Name
HOUSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08231-00
Entity Address
424 Hahlo St
Houston, TX 77020-3022
Grant Number
H80CS08231
Participating Start Date
9/9/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 05657
8234 BROADWAY ST.
HOUSTON, TX 77061
Pharmacy Comments
Contract Details
Approval Date
1/8/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2023
Pharmacy closed
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
1/8/2021
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