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MEDICINE SHOPPE #2015
CH060820 Community Health Service Agency, Inc. Of Hunt County, The
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Covered Entity Details
Entity Name
Community Health Service Agency, Inc. Of Hunt County, The
Subdivision Name
Carevide
Type
HRSA-Funded Health Center
340B ID
CH060820
Entity Address
4500 Wesley St
Greenville, TX 75401-5644
Grant Number
H80CS00675
Participating Start Date
12/1/1992
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
MEDICINE SHOPPE #2015
Pharmacy Address
3001 JOE RAMSEY BLVD E
GREENVILLE, TX 75401
Pharmacy Comments
Contract Details
Approval Date
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michelle Carter, Chief Executive Officer
(903) 455-5986
Contract Pharmacy Representative
Aydil Rx Services LLC
Vimall Bhakt, Managing Partner
(972) 839-0724
Signed By Date
4/15/2022
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