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CVS PHARMACY, INC.
CHC11427-00 Matagorda Episcopal Health Outreach Program
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Covered Entity Details
Entity Name
Matagorda Episcopal Health Outreach Program
Subdivision Name
MEHOP Administration and Outreach
Type
HRSA-Funded Health Center
340B ID
CHC11427-00
Entity Address
101 Ave F N
Bay City, TX 77414-3144
Grant Number
H80CS12889
Participating Start Date
1/1/2010
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06723
2711 7TH ST.
BAY CITY, TX 77414
Pharmacy Comments
Contract Details
Approval Date
1/6/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tayyab Pasha, DO
(979) 245-2008 Ext: 1121
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/6/2022
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