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LARSON'S PHARMACY
CH062237B SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
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Covered Entity Details
Entity Name
SHACKELFORD COUNTY COMMUNITY RESOURCE CENTER
Subdivision Name
ResourceCare Baird
Type
HRSA-Funded Health Center
340B ID
CH062237B
Entity Address
527 Peyton Street
Baird, TX 79504
Grant Number
H80CS06460
Participating Start Date
7/1/2011
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LARSON'S PHARMACY
Pharmacy Address
BIG COUNTRY ENTERPRISES, INC.
109 NE 2ND ST
CROSS PLAINS, TX 76443-2401
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Dustin Hawk, CEO
(325) 893-4010 Ext: 111
Contract Pharmacy Representative
Larson's
Rene Ramirez, Pharmacy Director
(432) 661-5285
Signed By Date
4/15/2016
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