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HEB PHARMACY #544
CH061223B BRAZOS VALLEY COMMUNITY ACTION AGENCY
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Covered Entity Details
Entity Name
BRAZOS VALLEY COMMUNITY ACTION AGENCY
Subdivision Name
BRYAN COLLEGE STATION CHC
Type
HRSA-Funded Health Center
340B ID
CH061223B
Entity Address
3370 S. TEXAS AVE
Bryan, TX 77802-3127
Grant Number
H80CS00299
Participating Start Date
10/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY #544
Pharmacy Address
725 EAST VILLA MARIA
SUITE 1300
BRYAN, TX 77802
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theresa Sabella, Dr.
(979) 383-2348
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
7/17/2023
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