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WALGREEN CO.
CH0627760 HEALTH CENTER OF SOUTHEAST TEXAS
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Covered Entity Details
Entity Name
HEALTH CENTER OF SOUTHEAST TEXAS
Subdivision Name
Health Center of Southeast Texas
Type
HRSA-Funded Health Center
340B ID
CH0627760
Entity Address
307 N. William Barnett Ave.
Cleveland, TX 77327-4061
Grant Number
H80CS08770
Participating Start Date
1/1/2008
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS #21238
1501 W CHURCH ST, STE 500
LIVINGSTON, TX 77351-3075
Pharmacy Comments
Contract Details
Approval Date
4/6/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Racciato, CEO
(281) 592-2224 Ext: 218
Contract Pharmacy Representative
Health Center of Southeast Texas
Andee Kesner, Pharmacy Director
(281) 592-2224 Ext: 257
Signed By Date
4/6/2023
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