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ASA PHARMACY
CH061223R Brazos Valley Community Action Agency, Inc.
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Covered Entity Details
Entity Name
Brazos Valley Community Action Agency, Inc.
Subdivision Name
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
Type
HRSA-Funded Health Center
340B ID
CH061223R
Entity Address
1500 University Dr E
College Station, TX 77840-2600
Grant Number
H80CS00299
Participating Start Date
4/1/2020
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
ASA PHARMACY
Pharmacy Address
ASA PHARMACY LLC
419 N LA SALLE ST
NAVASOTA, TX 77868-2435
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
7/15/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Theresa Sabella, Dr.
(979) 383-2348
Contract Pharmacy Representative
ASA Pharmacy
Ahmad Alala, Owner
(936) 825-3470
Signed By Date
7/12/2022
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