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CYPRESS FAIRBANKS-ACP
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
CYPRESS FAIRBANKS-ACP
Pharmacy Address
CYPRESS FAIRBANKS-ACP
11302 FALLBROOK DR
STE 104
HOUSTON, TX 77065-5270
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/28/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Young, CEO
(281) 824-1480
Contract Pharmacy Representative
Malcolm Roy, CEO
(281) 893-6000
Signed By Date
4/14/2017
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