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PREMIER PHARMACY
CH062360 BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
Subdivision Name
CommuniCare Health Centers - West
Type
HRSA-Funded Health Center
340B ID
CH062360
Entity Address
1102 Barclay St
San Antonio, TX 78207
Grant Number
H80CS00672
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PREMIER PHARMACY
Pharmacy Address
2425 BABCOCK RD., STE. 108A
SAN ANTONIO, TX 78229
Pharmacy Comments
Contract Details
Approval Date
4/18/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Paul Nguyen, President & CEO
(210) 233-7070 Ext: 7886
Contract Pharmacy Representative
Premier Pharmacy
Rey Lerma, Office Manager
(210) 392-0479
Signed By Date
4/18/2023
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