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BROOKSHIRE BROTHERS PHRMCY 23
CH061223J BRAZOS VALLEY COMMUNITY ACTION AGENCY
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Covered Entity Details
Entity Name
BRAZOS VALLEY COMMUNITY ACTION AGENCY
Subdivision Name
Health Point Madisonville
Type
HRSA-Funded Health Center
340B ID
CH061223J
Entity Address
712 S May St
Madisonville, TX 77864-2432
Grant Number
H80CS00299
Participating Start Date
10/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
BROOKSHIRE BROTHERS PHRMCY 23
Pharmacy Address
515 SOUTH ROBB
P.O. BOX 191
TRINITY, TX 75862
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Theresa Sabella, Dr.
(979) 383-2348
Contract Pharmacy Representative
Brookshire Grocery Company
Neil Ducote, Director of Pharmacy
(903) 600-1376
Signed By Date
10/15/2021
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