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FULTON PHARMACY
FP783825 SOUTH TEXAS FAMILY PLANNING & HEALTH CORPORATION
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Covered Entity Details
Entity Name
SOUTH TEXAS FAMILY PLANNING & HEALTH CORPORATION
Subdivision Name
FAMILY PLANNING CLINIC AND MEN'S HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP783825
Entity Address
2871 HWY 35 NORTH
ROCKPORT, TX 78382
Grant Number
FPHPA006521
Participating Start Date
1/1/1998
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
FULTON PHARMACY
Pharmacy Address
1331 W. GRAND PARKWAY N.
SUITE 111
KATY, TX 77493-2710
Pharmacy Comments
Contract Details
Approval Date
4/10/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARTHA ZUNIGA, EXECUTIVE DIRECTOR
(361) 855-7333
Contract Pharmacy Representative
Green Rex, Executive Community Liaison
(713) 660-8888
Signed By Date
4/10/2015
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