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LOUIS MORGAN DRUGS #1
HV75604 SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
Subdivision Name
Jim Meyer Comprehensive Health Center
Type
Ryan White Part C
340B ID
HV75604
Entity Address
410 North Fourth Street
LONGVIEW, TX 75601-6511
Grant Number
H76HA01705
Participating Start Date
10/1/2004
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
LOUIS MORGAN DRUGS #1
Pharmacy Address
HERVEY & BETHARD INC
1900 S HIGH ST
LONGVIEW, TX 75602
Pharmacy Comments
Contract Details
Approval Date
10/6/2004
Contract Begin Date
10/6/2004
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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