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CVS PHARMACY, INC.
STD787021 CHE Center for Health Empowerment
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Covered Entity Details
Entity Name
CHE Center for Health Empowerment
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD787021
Entity Address
2312 Western Trails Blvd
Ste 103
Austin, TX 78745
Grant Number
NH25PS005182
Participating Start Date
7/1/2017
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 05869
1413 OATS DR.
MESQUITE, TX 75150
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
Scott Lyles, President & CEO
(512) 608-7298
Contract Pharmacy Representative
Wellpartner
Ava Price, Account Manager-Grantees
(503) 919-1560
Signed By Date
1/13/2025
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