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HEB PHARMACY #678
CH06325AH El Centro Del Barrio
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Covered Entity Details
Entity Name
El Centro Del Barrio
Subdivision Name
CentroMed SA Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH06325AH
Entity Address
315 N San Saba
Suite 1075
San Antonio, TX 78207-3155
Grant Number
H80CS00758
Participating Start Date
1/1/2020
Last Recertification Date
1/29/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY #678
Pharmacy Address
302 VALLEY HI DR
SAN ANTONIO, TX 78227
Pharmacy Comments
Contract Details
Approval Date
7/8/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ernesto Gomez, President / CEO
(210) 334-3703
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
7/8/2024
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