340B Drug Pricing Program Database

Pharmacy Name

HEB PHARMACY WAREHOUSE 208

Pharmacy Address

H-E-B, LP
5311 DIETRICH RD STE 100
SAN ANTONIO, TX 78219

Pharmacy Comments

Approval Date

7/3/2023

Contract Begin Date

7/13/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Ernesto Gomez, President / CEO
(210) 334-3703

Contract Pharmacy Representative

HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578

Signed By Date

7/3/2023