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RICHMOND PHARMACY
CHC11255-02 STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC
Subdivision Name
Women and Children's Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11255-02
Entity Address
218 E HOUSE ST
ALVIN, TX 77511-3544
Grant Number
H80CS11255
Participating Start Date
4/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RICHMOND PHARMACY
Pharmacy Address
RICHMOND PHARMACY LLC
9536 RICHMOND AVE STE I
RICHMOND PHARMACY LLC
HOUSTON, TX 77063
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
1/27/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Young, CEO
(281) 824-1480
Contract Pharmacy Representative
Richmond Pharmacy
Lisa Nguyen, PIC
(713) 876-2527
Signed By Date
1/13/2023
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