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38TH STREET PHARMACY
CHC11298-00 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare Kramer Administrative Offices
Type
HRSA-Funded Health Center
340B ID
CHC11298-00
Entity Address
2115 KRAMER LN
STE 100
Austin, TX 78758
Grant Number
H80CS11298
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
38TH STREET PHARMACY
Pharmacy Address
711 W 38TH ST STE C3
AUSTIN, TX 78705-1126
Pharmacy Comments
Contract Details
Approval Date
2/7/2013
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LESLEE FROEHLICH, INTERIM CEO
(512) 978-9030
Contract Pharmacy Representative
38th Street Pharmacy
Jeff Warnken, Pharmacist
(512) 458-3784
Signed By Date
1/29/2013
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