340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEB PHARMACY #414
RRC450011-00 ST. JOSEPH REGIONAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
ST. JOSEPH REGIONAL HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC450011-00
Entity Address
2801 FRANCISCAN DRIVE
BRYAN, TX 77802-2544
Medicare Provider Number
450011
Participating Start Date
10/1/2018
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #414
Pharmacy Address
2508 S. DAY ST.
BRENHAM, TX 77833
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
6/10/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/18/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ricardo Diaz, Chief Operating Officer
(979) 776-2580
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
4/14/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session