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1960 PHARMACY
FQHCLA348 COLLIN COUNTY ADULT CLINIC
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Covered Entity Details
Entity Name
COLLIN COUNTY ADULT CLINIC
Subdivision Name
Collin County Adult Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA348
Entity Address
2520 K Ave STE 100
Plano, TX 75074-5342
Grant Number
LALCS00156
Participating Start Date
7/1/2017
Last Recertification Date
3/6/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
1960 PHARMACY
Pharmacy Address
5202 BISSONNET ST STE B
BELLAIRE, TX 77401
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Patricia Sumler, Executive Director
(972) 423-4944
Contract Pharmacy Representative
Raghu Chintalapally, Manager/Owner
(832) 798-0394
Signed By Date
4/17/2017
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