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HEB PHARMACY WAREHOUSE 208
CHC08231-00 HOUSTON COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
HOUSTON COMMUNITY HEALTH CENTERS INC
Subdivision Name
HOUSTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08231-00
Entity Address
424 Hahlo St
Houston, TX 77020-3022
Grant Number
H80CS08231
Participating Start Date
9/9/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY WAREHOUSE 208
Pharmacy Address
H-E-B, LP
5311 DIETRICH RD STE 100
SAN ANTONIO, TX 78219
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Daniel Moises Montez, CEO
(713) 343-5450
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
1/14/2025
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