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HEB PHARMACY WAREHOUSE 208
CAH451379-00 CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
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Covered Entity Details
Entity Name
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451379-00
Entity Address
1507 W MAIN ST
GATESVILLE, TX 76528-1024
Medicare Provider Number
451379
Participating Start Date
9/29/2010
Last Recertification Date
8/29/2024
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
7/17/2023
Contract Begin Date
7/19/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kneeley Lawdermilk, CFO
(254) 248-6276
Contract Pharmacy Representative
340BDirect
Linda VonMinden, Contract Agent
(951) 318-6265
Signed By Date
7/17/2023
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