Contract Pharmacy Details

RC PHARMACY
CHC28976-00 COASTAL BEND WELLNESS FOUNDATION, INC.

Covered Entity Details

Entity Name

COASTAL BEND WELLNESS FOUNDATION, INC.

Subdivision Name

Coastal Bend Wellness Foundation

Type

HRSA-Funded Health Center

340B ID

CHC28976-00

Entity Address

2882 Holly Road
Corpus Christi, TX 78415-4106

Grant Number

H80CS28976

Participating Start Date

4/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

RC PHARMACY

Pharmacy Address

5633 S STAPLES ST STE 700A
CORPUS CHRISTI, TX 78411-4646

Pharmacy Comments

Contract Details

Approval Date

1/28/2016

Contract Begin Date

4/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Bill Hoelscher, CEO
(361) 814-2001 Ext: 222

Contract Pharmacy Representative

ACCT
Nandan Kumar, Director of Pharmacy Operations
(713) 660-8888 Ext: 1220

Signed By Date

1/28/2016

340B Drug Pricing Program Database