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CVS PHARMACY, INC.
STD75234 Center for Health Empowerment
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Covered Entity Details
Entity Name
Center for Health Empowerment
Subdivision Name
Center for Health Empowerment Dallas County
Type
Sexually Transmitted Diseases
340B ID
STD75234
Entity Address
951 York Drive
Ste 102
DeSoto, TX 75115
Grant Number
NH25PS005182
Participating Start Date
7/1/2019
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS PHARMACY # 16026
2300 W BEN WHITE BLVD
AUSTIN, TX 78704
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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