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LAMAR PLAZA DRUG STORE
CHC11298-15 TRAVIS COUNTY HEALTHCARE DISTRICT
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Covered Entity Details
Entity Name
TRAVIS COUNTY HEALTHCARE DISTRICT
Subdivision Name
CommUnityCare RBJ Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CHC11298-15
Entity Address
15 WALLER ST
AUSTIN, TX 78702-5240
Grant Number
H80CS11298
Participating Start Date
1/1/2005
Last Recertification Date
1/25/2017
Entity Termination Date
10/1/2017
Pharmacy Details
Pharmacy Name
LAMAR PLAZA DRUG STORE
Pharmacy Address
1509 S LAMAR BLVD STE 550
AUSTIN, TX 78704-2988
Pharmacy Comments
Contract Details
Approval Date
5/19/2010
Contract Begin Date
5/19/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
JIM MARTIN, PHARMACY OWNER
(512) 442-6777
Signed By Date
5/19/2010
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