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UNITED COALITION PHARMACY
CH062910 COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH062910
Entity Address
1610 5th Street
LUBBOCK, TX 79401
Grant Number
H80CS00766
Participating Start Date
12/1/1992
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
UNITED COALITION PHARMACY
Pharmacy Address
1610 5TH ST
LUBBOCK, TX 79401
Pharmacy Comments
Contract Details
Approval Date
8/7/1995
Contract Begin Date
8/7/1995
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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