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HEB PHARMACY WAREHOUSE 208
SCH450654-00 STARR COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
STARR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450654-00
Entity Address
128 N FM 3167
RIO GRANDE CITY, TX 78582-6211
Medicare Provider Number
450654
Participating Start Date
1/1/2018
Last Recertification Date
9/3/2024
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
Eloy Garza, Assistant Administrator
(956) 487-9055
Contract Pharmacy Representative
HEB
Kimberly Lavrack, Director of Third Party
(210) 938-7344
Signed By Date
1/14/2025
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