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ONE SOURCE PHARMACY AND MEDICAL SUPPLIES
STD78705 Texas Health Action
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Covered Entity Details
Entity Name
Texas Health Action
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD78705
Entity Address
101 W. Koenig Ln
100
Austin, TX 78751
Grant Number
NH25PS005182
Participating Start Date
1/1/2016
Last Recertification Date
5/28/2024
Pharmacy Details
Pharmacy Name
ONE SOURCE PHARMACY AND MEDICAL SUPPLIES
Pharmacy Address
ONE SOURCE PHARMACY AND MEDICAL SUPPLIES
15727 SAN PEDRO AVE
SAN ANTONIO, TX 78232
Pharmacy Comments
Contract Details
Approval Date
1/14/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Benjamin Walker, Executive Director
(281) 799-5475
Contract Pharmacy Representative
David Witten, DIRECTOR
(210) 504-3949
Signed By Date
1/14/2016
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