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CAREFIRST PHARMACY
CH063740 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
Subdivision Name
North Central Texas Community Health Care Center
Type
HRSA-Funded Health Center
340B ID
CH063740
Entity Address
200 MARTIN LUTHER KING, JR. BOULEVARD
WICHITA FALLS, TX 76301
Grant Number
H80CS00553
Participating Start Date
10/1/1994
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CAREFIRST PHARMACY
Pharmacy Address
AVA HEALTHCARE LLC
1600 W LOUISIANA ST STE 700
MCKINNEY, TX 75069-7881
Pharmacy Comments
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Allen Patterson, CEO
(940) 397-2602
Contract Pharmacy Representative
Ava Healthcare, LLC
Jignesh Patel, Owner
(214) 278-4808
Signed By Date
1/14/2021
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