Contract Pharmacy Details

UNITED PHARMACY #505
CH062910 COMMUNITY HEALTH CENTER OF LUBBOCK, INC., THE

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 PHARMACY #505

Pharmacy Address

401 SLIDE ROAD
LUBBOCK, TX 79416

Pharmacy Comments

Contract Details

Approval Date

4/15/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/30/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Michael Sullivan, CEO
(806) 765-2611 Ext: 1110

Contract Pharmacy Representative

Tim Purser, Director of Pharmacy
(806) 791-7410

Signed By Date

4/15/2015

340B Drug Pricing Program Database