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MEDSAVERS PHARMACY
CHC24150-03 PEOPLE'S COMMUNITY CLINIC
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Covered Entity Details
Entity Name
PEOPLE'S COMMUNITY CLINIC
Subdivision Name
People's Community Clinic Off-Site Clinic at Lifeworks
Type
HRSA-Funded Health Center
340B ID
CHC24150-03
Entity Address
408 W. 23rd Street STE 300
Austin, TX 78705
Grant Number
H80CS24150
Participating Start Date
10/1/2012
Last Recertification Date
2/13/2017
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
MEDSAVERS PHARMACY
Pharmacy Address
1800 W 35TH ST
AUSTIN, TX 78703
Pharmacy Comments
Contract Details
Approval Date
1/12/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Timothy Sayles, CFO
(512) 708-3197
Contract Pharmacy Representative
Chris Johnson, Owner/Pharmacist-In-Charge
(512) 465-9292
Signed By Date
1/12/2015
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