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MANOR PHARMACY
CHC11298-00 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Kramer Administrative Offices
Type
HRSA-Funded Health Center
340B ID
CHC11298-00
Entity Address
2115 KRAMER LN
STE 100
Austin, TX 78758
Grant Number
H80CS11298
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
MANOR PHARMACY
Pharmacy Address
RSVP HEALTHCARE ALLIANCE, LLC
14008 SHADOW GLEN BLVD STE 102
MANOR, TX 78653
Pharmacy Comments
Contract Details
Approval Date
10/26/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jaeson Fournier, CEO
(512) 978-9050 Ext: 5125954337
Contract Pharmacy Representative
Manor Pharmacy
Vishal H Patel, Owner
(512) 642-8000
Signed By Date
10/26/2021
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