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EAST SIDE PHARMACY
CHC26190-01 TYLER FAMILY CIRCLE OF CARE
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Covered Entity Details
Entity Name
TYLER FAMILY CIRCLE OF CARE
Subdivision Name
Tyler Family Circle of Care - Primary Care Services
Type
HRSA-Funded Health Center
340B ID
CHC26190-01
Entity Address
2990 N. Broadway
Tyler, TX 75702-2149
Grant Number
H80CS26190
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
EAST SIDE PHARMACY
Pharmacy Address
1109 E 5TH ST
TYLER, TX 75701
Pharmacy Comments
Contract Details
Approval Date
8/22/2024
Contract Begin Date
8/22/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristen S Harris, CEO
(903) 606-6637
Contract Pharmacy Representative
East Side Pharmacy
Daniel Hayek, Managing officer
(903) 354-0231
Signed By Date
8/22/2024
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