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WAL-MART PHARMACY 10-1000
CH061510 Brownsville Community Health Clinic Corporation
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Covered Entity Details
Entity Name
Brownsville Community Health Clinic Corporation
Subdivision Name
New Horizon Medical Center
Type
HRSA-Funded Health Center
340B ID
CH061510
Entity Address
191 E. Price Rd.
Brownsville, TX 78521-3527
Grant Number
H80CS00717
Participating Start Date
12/1/1992
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1000
Pharmacy Address
2721 BOCA CHICA BLVD
BROWNSVILLE, TX 78521
Pharmacy Comments
Contract Details
Approval Date
6/11/2012
Contract Begin Date
6/11/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Gomez, CEO
(956) 548-7501
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
5/3/2012
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