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WALGREEN CO.
CH0622420 SPRING BRANCH COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SPRING BRANCH COMMUNITY HEALTH CENTER
Subdivision Name
SBCHC - Hillendahl Clinic
Type
HRSA-Funded Health Center
340B ID
CH0622420
Entity Address
1615 Hillendahl Blvd.
Suite 100
Houston, TX 77055
Grant Number
H80CS06447
Participating Start Date
4/1/2008
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04513
1403 FM 1960 W
HOUSTON, TX 77090
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marlen Trujillo, Chief Executive Officer
(713) 462-6565 Ext: 118
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
10/15/2021
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