340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GALVESTON SPECIALTY PHARMACY
CH06161E COASTAL HEALTH & WELLNESS
Print
Covered Entity Details
Entity Name
COASTAL HEALTH & WELLNESS
Subdivision Name
Coastal Health & Wellness - Galveston
Type
HRSA-Funded Health Center
340B ID
CH06161E
Entity Address
4700 BROADWAY STREET STE 100
GALVESTON, TX 77551-4241
Grant Number
H80CS00344
Participating Start Date
7/1/1997
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GALVESTON SPECIALTY PHARMACY
Pharmacy Address
707 23RD ST
SUITE F
GALVESTON, TX 77550
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ami Cotharn, Chief Operating Officer
(409) 938-2218
Contract Pharmacy Representative
Galveston Specialty
Gaurav Midha, Pharmacist
(409) 877-7029
Signed By Date
10/16/2023
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