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WAL-MART CENTRAL FILL 10-2670
CH0622420 SPRING BRANCH COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SPRING BRANCH COMMUNITY HEALTH CENTER
Subdivision Name
SBCHC - Hillendahl Clinic
Type
HRSA-Funded Health Center
340B ID
CH0622420
Entity Address
1615 Hillendahl Blvd.
Suite 100
Houston, TX 77055
Grant Number
H80CS06447
Participating Start Date
4/1/2008
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
WAL-MART CENTRAL FILL 10-2670
Pharmacy Address
608 SPRING HILL DR # 3 SUITE 300
SPRING, TX 77386
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
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
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
1/17/2023
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