340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
1960 PHARMACY
CHC11255-00 Stephen F Austin Community Health Center, Inc
Print
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
1960 PHARMACY
Pharmacy Address
5202 BISSONNET ST STE B
BELLAIRE, TX 77401
Pharmacy Comments
Contract Details
Approval Date
4/25/2017
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
4/25/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session