340B Drug Pricing Program Database

Pharmacy Name

HEB PHARMACY #139

Pharmacy Address

5801 WEBER ROAD
CORPUS CHRISTI, TX 78413

Pharmacy Comments

Approval Date

1/5/2012

Contract Begin Date

1/5/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/9/2019
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Pamela L. Brower, Chief Finance Officer
(361) 881-3432

Contract Pharmacy Representative

HEB Pharmacy
Jay Beuche, Manager Contracting
(210) 938-8578

Signed By Date

12/27/2011