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CVS PHARMACY, INC.
CHC11298-00 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Kramer Administrative Offices
Type
HRSA-Funded Health Center
340B ID
CHC11298-00
Entity Address
2115 KRAMER LN
STE 100
Austin, TX 78758
Grant Number
H80CS11298
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 08323
4426 WILLIAMS DR
GEORGETOWN, TX 78628
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicholas Yagoda, Imterim CEO
(512) 978-9527
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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