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CAREMARK KANSAS SPECIALTY PHARMACY
CHC11298-32 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
Sandra Joy Anderson Community Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC11298-32
Entity Address
1705 East 11th Street
AUSTIN, TX 78702-2709
Grant Number
H80CS11298
Participating Start Date
4/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
7/22/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jaeson Fournier, CEO
(512) 978-9050 Ext: 5125954337
Contract Pharmacy Representative
Montana CVS Pharmacy, LLC
Christian Reid, Senior Director
(401) 770-2118
Signed By Date
7/22/2024
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