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LA HACIENDA PHARMACY INC
CH061435F COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
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Covered Entity Details
Entity Name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Subdivision Name
Community Action Health Center Duval
Type
HRSA-Funded Health Center
340B ID
CH061435F
Entity Address
115 W. Main
Benavides, TX 78341
Grant Number
H80CS02323
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
LA HACIENDA PHARMACY INC
Pharmacy Address
213 DR E E DUNLAP STREET
SAN DIEGO, TX 78384
Pharmacy Comments
Contract Details
Approval Date
9/28/2009
Contract Begin Date
9/28/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RAFEAL TREVINO, CEO
(361) 664-0145 Ext: 223
Contract Pharmacy Representative
Signed By Date
9/18/2009
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