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CVS PHARMACY, INC.
CH06325W El Centro Del Barrio
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Covered Entity Details
Entity Name
El Centro Del Barrio
Subdivision Name
CENTROMED SARAH E DAVIDSON CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06325W
Entity Address
1 Haven for Hope Way
Building 1
Suite 300
San Antonio, TX 78207
Grant Number
H80CS00758
Participating Start Date
4/1/2009
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA CVS/PHARMACY # 10141
5975 OLD PEARSALL RD.
SAN ANTONIO, TX 78242
Pharmacy Comments
Contract Details
Approval Date
7/8/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ernesto Gomez, President / CEO
(210) 334-3703
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2024
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