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CVS PHARMACY, INC.
CH06325D El Centro Del Barrio
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Covered Entity Details
Entity Name
El Centro Del Barrio
Subdivision Name
CENTROMED MARIA CASTRO FLORES CLINIC
Type
HRSA-Funded Health Center
340B ID
CH06325D
Entity Address
7315 SOUTH LOOP 1604 WEST
SOMERSET, TX 78069
Grant Number
H80CS00758
Participating Start Date
1/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS PHARMACY # 16238
2810 SW MILITARY DR
SAN ANTONIO, TX 78224
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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