340B Drug Pricing Program Database

Pharmacy Name

DE LEON'S PHARMACY, INC.

Pharmacy Address

613 ELIZABETH STREET
SUITE 103
CORPUS CHRISTI, TX 78404

Pharmacy Comments

Approval Date

4/10/2012

Contract Begin Date

5/10/2012

Carve-In Effective Date

Contract Comments

05/10/2012 contract reinstated; 04/10/2012 signing official for pharmacy unauthorized

Contract Termination Date
Termination Reason

4/12/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

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

Contract Pharmacy Representative

Jose DeLeon, Owner
(361) 882-3636

Signed By Date

4/6/2012