Contract Pharmacy Details

NB PHARMACY
CH0627930 EAST TEXAS BORDER HEALTH CLINIC

Covered Entity Details

Entity Name

EAST TEXAS BORDER HEALTH CLINIC

Subdivision Name

East Texas Border Health Clinic DBA Genesis Primecare Marshall 2

Type

HRSA-Funded Health Center

340B ID

CH0627930

Entity Address

400 S Alamo Blvd
Marshall, TX 75670-4260

Grant Number

H80CS08781

Participating Start Date

10/1/2007

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

NB PHARMACY

Pharmacy Address

NB PHARMACY, LLC
409 NE FRONT ST
NEW BOSTON, TX 75570

Pharmacy Comments

Contract Details

Approval Date

1/15/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Carla Roadcap, CEO
(903) 927-3782

Contract Pharmacy Representative

NB Pharmacy
Thomas Coleman, Owner
(903) 314-5944

Signed By Date

1/15/2024

340B Drug Pricing Program Database