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THE PRESCRIPTION SHOP
CHC11426-00 ELLIS COUNTY COALITION FOR HEALTH OPTIONS
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Covered Entity Details
Entity Name
ELLIS COUNTY COALITION FOR HEALTH OPTIONS
Subdivision Name
Hope Health
Type
HRSA-Funded Health Center
340B ID
CHC11426-00
Entity Address
572 Coleman Street
Waxahachie, TX 75165-3827
Grant Number
H80CS12874
Participating Start Date
7/1/2009
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION SHOP
Pharmacy Address
120 S. GRAND AVENUE SUITE #1
WAXAHACHIE, TX 75165
Pharmacy Comments
Contract Details
Approval Date
10/4/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Barbara Clark, CEO
(972) 923-2440 Ext: 201
Contract Pharmacy Representative
mike boyd, owner
(215) 836-1213
Signed By Date
10/4/2016
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