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MEDSAVERS PHARMACY
CHC24150-04 PEOPLE'S COMMUNITY CLINIC
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Covered Entity Details
Entity Name
PEOPLE'S COMMUNITY CLINIC
Subdivision Name
PCC-Camino
Type
HRSA-Funded Health Center
340B ID
CHC24150-04
Entity Address
1101 Camino la Costa
Austin, TX 78752
Grant Number
H80CS24150
Participating Start Date
10/1/2014
Last Recertification Date
2/11/2025
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
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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