340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDIC PHARMACY
CHC24153-00 ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.
Print
Covered Entity Details
Entity Name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA, INC.
Subdivision Name
Asian American Health Coalition of the Greater Houston Area
Type
HRSA-Funded Health Center
340B ID
CHC24153-00
Entity Address
7001 Corporate Dr STE 120
Houston, TX 77036-5139
Grant Number
H80CS24153
Participating Start Date
1/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEDIC PHARMACY
Pharmacy Address
MEDIC RX INC
12121 WESTHEIMER RD STE 209
209
HOUSTON, TX 77077
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
11/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Andrea Caracostis, Chief Executive Officer
(713) 337-3640
Contract Pharmacy Representative
Cinthol Baby, Owner
(281) 531-5965
Signed By Date
4/15/2016
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