340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEB PHARMACY WAREHOUSE 208
CAH451397-00 SCOTT & WHITE HOSPITAL BRENHAM
Print
Covered Entity Details
Entity Name
SCOTT & WHITE HOSPITAL BRENHAM
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451397-00
Entity Address
700 MEDICAL PARKWAY
Brenham, TX 77833
Medicare Provider Number
451397
Participating Start Date
7/29/2022
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
7/13/2023
Contract Begin Date
7/13/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Jennings, President
(979) 207-4043
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
7/13/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session