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HEB PHARMACY #626
HV060210 VALLEY AIDS COUNCIL
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Covered Entity Details
Entity Name
VALLEY AIDS COUNCIL
Subdivision Name
Type
Ryan White Part C
340B ID
HV060210
Entity Address
2306 Camelot Plaza Circle
HARLINGEN, TX 78550
Grant Number
H76HA00131
Participating Start Date
1/1/1998
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY #626
Pharmacy Address
1095 W. BUSINESS 77
SAN BENITO, TX 78586
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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