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H E B FULFILLMENT CENTER
CHC24155-00 TEJAS HEALTH CARE
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Covered Entity Details
Entity Name
TEJAS HEALTH CARE
Subdivision Name
Tejas Health Care
Type
HRSA-Funded Health Center
340B ID
CHC24155-00
Entity Address
753 E Travis St
La Grange, TX 78945-2353
Grant Number
H80CS24155
Participating Start Date
1/1/2014
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
H E B FULFILLMENT CENTER
Pharmacy Address
6520 FRATT ROAD
SAN ANTONIO, TX 78218
Pharmacy Comments
Contract Details
Approval Date
7/16/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sheri Kehler, CEO
(979) 968-6596 Ext: 120
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
7/16/2021
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