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HEB PHARMACY #804
CHC24150-00 PEOPLE'S COMMUNITY CLINIC
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Covered Entity Details
Entity Name
PEOPLE'S COMMUNITY CLINIC
Subdivision Name
People's Community Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24150-00
Entity Address
2909 North IH 35
Austin, TX 78722
Grant Number
H80CS24150
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HEB PHARMACY #804
Pharmacy Address
2641 E PFLUGERVILLE PKWY
PFLUGERVILLE, TX 78660
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matt Balthazar, CEO
(512) 659-0110
Contract Pharmacy Representative
HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578
Signed By Date
4/10/2025
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