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WALMART PHARMACY 10-3106
CH06325Z El Centro Del Barrio
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Covered Entity Details
Entity Name
El Centro Del Barrio
Subdivision Name
CENTROMED BERTO GUERRA JR CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06325Z
Entity Address
5439 Ray Ellison Boulevard
San Antonio, TX 78242-2219
Grant Number
H80CS00758
Participating Start Date
4/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3106
Pharmacy Address
8538 IH-35 SOUTH
SAN ANTONIO, TX 78211
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
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
7/8/2024
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