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WAL-MART PHARMACY 10-0322
CH061223B BRAZOS VALLEY COMMUNITY ACTION AGENCY
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Covered Entity Details
Entity Name
BRAZOS VALLEY COMMUNITY ACTION AGENCY
Subdivision Name
BRYAN COLLEGE STATION CHC
Type
HRSA-Funded Health Center
340B ID
CH061223B
Entity Address
3370 S. TEXAS AVE
Bryan, TX 77802-3127
Grant Number
H80CS00299
Participating Start Date
10/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0322
Pharmacy Address
2200 BRIARCREST DR
BRYAN, TX 77802
Pharmacy Comments
Contract Details
Approval Date
10/17/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Eric Todd, CEO
(979) 846-1100
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
10/17/2014
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