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HEB PHARMACY #494
RWI782071 Alamo Area Resource Center
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Covered Entity Details
Entity Name
Alamo Area Resource Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI782071
Entity Address
303 N. Frio
San Antonio, TX 78207
Grant Number
H89HA31891
Participating Start Date
1/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY #494
Pharmacy Address
10660 FM 471 WEST
SAN ANTONIO, TX 78251
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jose Cervantes, Executive Director
(210) 625-7193 Ext: 7193
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
1/13/2025
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