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KROGER PHARMACY #014
CH061432A LONE STAR COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
LONE STAR COMMUNITY HEALTH CENTER, INC
Subdivision Name
Lone Star Community Health Center, Inc.- Willis
Type
HRSA-Funded Health Center
340B ID
CH061432A
Entity Address
9516 Fm 1097 Rd W
Willis, TX 77318-4976
Grant Number
H80CS02451
Participating Start Date
4/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #014
Pharmacy Address
12605 I-45 NORTH
WILLIS, TX 77318
Pharmacy Comments
Contract Details
Approval Date
4/11/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/5/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Karen Harwell, Chief Executive Officer
(936) 539-4004
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
4/11/2017
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