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W5 PHARMACY
CH062237F SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
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Covered Entity Details
Entity Name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Subdivision Name
ResourceCare Clyde
Type
HRSA-Funded Health Center
340B ID
CH062237F
Entity Address
1712 North Access Road
Clyde, TX 79510
Grant Number
H80CS06460
Participating Start Date
4/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
W5 PHARMACY
Pharmacy Address
1110 E WALKER ST
BRECKENRIDGE, TX 76424
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Meagan Marshall, CEO
(325) 762-2447 Ext: 110
Contract Pharmacy Representative
W5
Cody Wimberley, Pharmacist
(254) 559-6979
Signed By Date
4/15/2025
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