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JONES MC CALL PHCY RD
CH061220 SOUTH PLAINS RURAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
SOUTH PLAINS RURAL HEALTH SERVICES INC
Subdivision Name
SOUTH PLAINS RURAL HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH061220
Entity Address
1000 FM 300
LEVELLAND, TX 79336-6235
Grant Number
H80CS00721
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
JONES MC CALL PHCY RD
Pharmacy Address
JONES MCCALL
1605 N BRYAN AVE.
LAMESA, TX 79331
Pharmacy Comments
Contract Details
Approval Date
3/20/2006
Contract Begin Date
3/20/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/17/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/20/2006
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