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JACOBS FAMILY PHARMACY
CH06071D CROSS TIMBERS HEALTH CLINICS, INC.
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Covered Entity Details
Entity Name
CROSS TIMBERS HEALTH CLINICS, INC.
Subdivision Name
AccelHealth - Stephenville
Type
HRSA-Funded Health Center
340B ID
CH06071D
Entity Address
135 River North Blvd
Stephenville, TX 76401-1804
Grant Number
H80CS00124
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JACOBS FAMILY PHARMACY
Pharmacy Address
2701 AUSTIN AVE
BROWNWOOD, TX 76801-5834
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Esther Taylor, Chief Executive Officer
(254) 893-5895 Ext: 1023
Contract Pharmacy Representative
Jacob's Pharmacy
Tim Jacob, Pharmacist
(325) 646-2322
Signed By Date
4/8/2024
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