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WAL-MART PHARMACY 10-5144
CH06325AB El Centro Del Barrio
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Covered Entity Details
Entity Name
El Centro Del Barrio
Subdivision Name
CENTROMED FAMILY FIRST CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06325AB
Entity Address
9135 Schaefer Road
Ste 4
Converse, TX 78109-1980
Grant Number
H80CS00758
Participating Start Date
4/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5144
Pharmacy Address
8315 FM 78
CONVERSE, TX 78109
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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