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BLOUNT PHARMACY
CHC12850-01 HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS INC
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Covered Entity Details
Entity Name
HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS INC
Subdivision Name
HOPE Community Medicine- Center Location
Type
HRSA-Funded Health Center
340B ID
CHC12850-01
Entity Address
620 Tenaha St.
Center, TX 75935
Grant Number
H80CS12850
Participating Start Date
10/1/2016
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
BLOUNT PHARMACY
Pharmacy Address
13290 US HIGHWAY 84 E
PO BOX 947
JOAQUIN, TX 75954
Pharmacy Comments
Contract Details
Approval Date
8/8/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/3/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tracie Cain, COO
(936) 248-4673
Contract Pharmacy Representative
Karen Moss, Pharmacist/Partner
(936) 269-3922
Signed By Date
8/8/2017
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