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HEB PHARMACY #038
STD78550 Valley AIDS Council
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Covered Entity Details
Entity Name
Valley AIDS Council
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD78550
Entity Address
2306 Camelot Plaza Circle
Harlingen, TX 78550-8407
Grant Number
NU62PS924529
Participating Start Date
1/1/2017
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
HEB PHARMACY #038
Pharmacy Address
901 W. EXPRESSWAY 83
SAN JUAN, TX 78589
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wally Cantu, Executive Director
(956) 428-2653
Contract Pharmacy Representative
Wellpartner
Ava Price, Account Manager-Grantees
(503) 919-1560
Signed By Date
10/14/2024
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