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ASSURANCE CONSOLIDATED PHARMACY #3
CHC11255-00 Stephen F Austin Community Health Center, Inc
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Covered Entity Details
Entity Name
Stephen F Austin Community Health Center, Inc
Subdivision Name
Stephen F Austin
Type
HRSA-Funded Health Center
340B ID
CHC11255-00
Entity Address
1111 W.Adoue St
Alvin, TX 77511-2718
Grant Number
H80CS11255
Participating Start Date
7/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ASSURANCE CONSOLIDATED PHARMACY #3
Pharmacy Address
SPLENDORA HEALTHCARE, LLC
13841 HWY 59 STE. C
SPLENDORA, TX 77372
Pharmacy Comments
Contract Details
Approval Date
7/13/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/14/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mark Young, CEO
(281) 824-1480
Contract Pharmacy Representative
TRONOWN V. THOMAS, MANAGING PARTNER
(832) 928-4316
Signed By Date
7/13/2015
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