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KROGER PHARMACY #136
CH061432B LONE STAR COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
LONE STAR COMMUNITY HEALTH CENTER, INC
Subdivision Name
Lone Star Community Health Center - Spring
Type
HRSA-Funded Health Center
340B ID
CH061432B
Entity Address
440 Rayford Rd
Ste 150
Spring, TX 77386
Grant Number
H80CS02451
Participating Start Date
4/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #136
Pharmacy Address
341 S LOOP 336 W
CONROE, TX 77304
Pharmacy Comments
Contract Details
Approval Date
10/4/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Harwell, Chief Executive Officer
(936) 539-4004
Contract Pharmacy Representative
Lone Star Community Health Center
Valerie Powell, Director of 340B Program
(936) 523-5253
Signed By Date
10/4/2024
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