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KROGER PHARMACY #357
CH061432C LONE STAR COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
LONE STAR COMMUNITY HEALTH CENTER, INC
Subdivision Name
Lone Star Community Health Center - Grangerland
Type
HRSA-Funded Health Center
340B ID
CH061432C
Entity Address
13905 Grangerland Rd.
Conroe, TX 77306-7809
Grant Number
H80CS02451
Participating Start Date
4/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #357
Pharmacy Address
2222 I-45 NORTH
CONROE, TX 77301
Pharmacy Comments
Contract Details
Approval Date
4/3/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Harwell, Chief Executive Officer
(936) 539-4004
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
4/3/2025
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