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WALGREEN CO.
CH062242C SPRING BRANCH COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SPRING BRANCH COMMUNITY HEALTH CENTER
Subdivision Name
Spring Branch CHC - WholeLife Clinic
Type
HRSA-Funded Health Center
340B ID
CH062242C
Entity Address
1905 JACQUELYN DR
101
HOUSTON, TX 77055-2520
Grant Number
H80CS06447
Participating Start Date
7/1/2017
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05423
1413 WIRT ROAD
HOUSTON, TX 77055
Pharmacy Comments
Contract Details
Approval Date
1/10/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marlen Trujillo, Chief Executive Officer
(713) 462-6565 Ext: 118
Contract Pharmacy Representative
Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033
Signed By Date
1/10/2023
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