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HEB PHARMACY WAREHOUSE 208
CH061510 Brownsville Community Health Clinic Corporation
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Covered Entity Details
Entity Name
Brownsville Community Health Clinic Corporation
Subdivision Name
New Horizon Medical Center
Type
HRSA-Funded Health Center
340B ID
CH061510
Entity Address
191 E. Price Rd.
Brownsville, TX 78521-3527
Grant Number
H80CS00717
Participating Start Date
12/1/1992
Last Recertification Date
3/5/2025
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
7/13/2023
Contract Begin Date
8/3/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Hilda Marvelia Gonzalez, Acting CEO
(956) 548-7473
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
7/13/2023
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