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STOCKTON PHARMACY
CH061412A CACTUS HEALTH SERVICES INC
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Covered Entity Details
Entity Name
CACTUS HEALTH SERVICES INC
Subdivision Name
Cactus Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CH061412A
Entity Address
700 N. Main
Fort Stockton, TX 79735
Grant Number
H80CS01426
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
STOCKTON PHARMACY
Pharmacy Address
616 W DICKINSON BLVD
FORT STOCKTON, TX 79735
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Luis Villarreal, CEO
(432) 336-8110
Contract Pharmacy Representative
Stockton Pharmacy
Shashwatkumar Patel, PIC
(832) 512-0974
Signed By Date
1/13/2023
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