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CVS PHARMACY, INC.
STD787021 CHE Center for Health Empowerment
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Covered Entity Details
Entity Name
CHE Center for Health Empowerment
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD787021
Entity Address
2312 Western Trails Blvd
Ste 103
Austin, TX 78745
Grant Number
NH25PS005182
Participating Start Date
7/1/2017
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 06964
2610 LAKE AUSTIN BLVD
AUSTIN, TX 78703
Pharmacy Comments
Contract Details
Approval Date
1/17/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Lyles, Board Chair
(512) 608-7298
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2022
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