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HEB PHARMACY WAREHOUSE 208
RWII78759A Texas Health Action
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Covered Entity Details
Entity Name
Texas Health Action
Subdivision Name
Type
Ryan White Part B
340B ID
RWII78759A
Entity Address
2800 S. IH-35
Austin, TX 78704
Grant Number
X07 - HA00054
Participating Start Date
10/1/2019
Last Recertification Date
3/4/2025
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
7/5/2023
Contract Begin Date
7/6/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Adams, CFO
(512) 643-8770
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
7/5/2023
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