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GALVESTON SPECIALTY PHARMACY
CH061610 Coastal Health & Wellness
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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
GALVESTON SPECIALTY PHARMACY
Pharmacy Address
707 23RD ST
SUITE F
GALVESTON, TX 77550
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Richard Ryan Mosquera, Chief Compliance Officer
(409) 938-2492
Contract Pharmacy Representative
Galveston Specialty
Gaurav Midha, Pharmacist
(409) 877-7029
Signed By Date
7/15/2021
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