340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HITCHCOCK HOMETOWN PHARMACY
CH061610 Coastal Health & Wellness
Print
Covered Entity Details
Entity Name
Coastal Health & Wellness
Subdivision Name
Administration
Type
HRSA-Funded Health Center
340B ID
CH061610
Entity Address
9850 Emmett F Lowry Expy
Texas City, TX 77591
Grant Number
H80CS00344
Participating Start Date
4/1/1996
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HITCHCOCK HOMETOWN PHARMACY
Pharmacy Address
HITCHCOCK HOMETOWN PHARMACY LLC
8719 HIGHWAY 6
HITCHCOCK, TX 77563
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Ryan Mosquera, Chief Compliance Officer
(409) 938-2492
Contract Pharmacy Representative
Hitchcock Hometown
Nandan Kumar, Pharmacist
(409) 209-0847
Signed By Date
7/15/2021
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