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LARSON'S PHARMACY
CH062237E SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
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Covered Entity Details
Entity Name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Subdivision Name
ResourceCare Breckenridge
Type
HRSA-Funded Health Center
340B ID
CH062237E
Entity Address
2802 W Walker St
Breckenridge, TX 76424-4032
Grant Number
H80CS06460
Participating Start Date
10/1/2006
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LARSON'S PHARMACY
Pharmacy Address
BIG COUNTRY ENTERPRISES, INC.
109 NE 2ND ST
CROSS PLAINS, TX 76443-2401
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Meagan Marshall, CEO
(325) 762-2447 Ext: 110
Contract Pharmacy Representative
Lawrence Bros
Richard Watson, Director of Pharmacy
(254) 725-7130
Signed By Date
7/11/2024
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