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HEB PHARMACY WAREHOUSE 208
SCH450235-00 GONZALES HEALTHCARE SYSTEMS
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Covered Entity Details
Entity Name
GONZALES HEALTHCARE SYSTEMS
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450235-00
Entity Address
1110 N Sarah DeWitt Drive
GONZALES, TX 78629
Medicare Provider Number
450235
Participating Start Date
5/6/2020
Last Recertification Date
8/22/2024
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
7/10/2023
Contract Begin Date
7/10/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brandon Anzaldua, CFO/COO
(830) 672-7581
Contract Pharmacy Representative
340BDirect
Linda VonMinden, Contract Agent
(951) 318-6265
Signed By Date
7/10/2023
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