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ESI MAIL PHARMACY SERVICE
CHC24153-00 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.
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Covered Entity Details
Entity Name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.
Subdivision Name
Asian American Health Coalition of the Greater Houston Area
Type
HRSA-Funded Health Center
340B ID
CHC24153-00
Entity Address
7001 Corporate Dr STE 120
Houston, TX 77036-5139
Grant Number
H80CS24153
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ESI MAIL PHARMACY SERVICE
Pharmacy Address
DBA EXPRESS SCRIPTS
7909 S HARDY DR STE 106
TEMPE, AZ 85284-1112
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
Andrea Caracostis, Chief Executive Officer
(713) 337-3640
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
1/15/2025
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