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MARKET STREET PHARMACY #517
CH06374G NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
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Covered Entity Details
Entity Name
NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER
Subdivision Name
Women's Health Center of McKinney
Type
HRSA-Funded Health Center
340B ID
CH06374G
Entity Address
4510 Medical Center Drive # 201
McKinney, TX 75069-1605
Grant Number
H80CS00553
Participating Start Date
10/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MARKET STREET PHARMACY #517
Pharmacy Address
4590 KELL BLVD
WICHITA FALLS, TX 76309
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allen Patterson, CEO
(940) 397-2602
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/16/2023
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