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CVS PHARMACY, INC.
CH060710 CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
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Covered Entity Details
Entity Name
CROSS TIMBERS HEALTH CLINICS, INC. DBA ACCELHEALTH
Subdivision Name
AccelHealth - DeLeon
Type
HRSA-Funded Health Center
340B ID
CH060710
Entity Address
1100 W Reynosa Ave
De Leon, TX 76444-1630
Grant Number
H80CS00124
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 07236
2565 W. WASHINGTON ST.
STEPHENVILLE, TX 76401
Pharmacy Comments
Contract Details
Approval Date
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Esther Taylor, Chief Executive Officer
(254) 893-5895 Ext: 1023
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2021
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