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HEB PHARMACY WAREHOUSE 208
CH062120 SOUTH TEXAS RURAL HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
SOUTH TEXAS RURAL HEALTH SERVICES, INC.
Subdivision Name
SOUTH TEXAS RURAL HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH062120
Entity Address
105 SOUTH STEWART STREET
COTULLA, TX 78014-2237
Grant Number
H80CS00361
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY WAREHOUSE 208
Pharmacy Address
H-E-B, LP
5311 DIETRICH RD STE 100
SAN ANTONIO, TX 78219
Pharmacy Comments
Contract Details
Approval Date
7/3/2023
Contract Begin Date
7/3/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Myrta Garcia, CEO
(830) 879-3047
Contract Pharmacy Representative
HEB
David Liendo, Government Programs Manager
(210) 938-3182
Signed By Date
7/3/2023
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