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FOUNDATION CARE LLC
CHC28977-00 TRIANGLE AREA NETWORK, INC.
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Covered Entity Details
Entity Name
TRIANGLE AREA NETWORK, INC.
Subdivision Name
Triangle Area Network - Orange
Type
HRSA-Funded Health Center
340B ID
CHC28977-00
Entity Address
3727 N. 16th St.
Orange, TX 77632
Grant Number
H80CS28977
Participating Start Date
4/1/2017
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
FOUNDATION CARE LLC
Pharmacy Address
111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO 63005
Pharmacy Comments
Contract Details
Approval Date
4/24/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dena Gray Hughes, CEO
(409) 832-8338 Ext: 222
Contract Pharmacy Representative
Acaria Health
Philip Gofman, Regional VP
(917) 312-5263
Signed By Date
4/24/2023
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