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AMAZON PHARMACY #001
CH06126D East Texas Community Health Services, Inc.
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Covered Entity Details
Entity Name
East Texas Community Health Services, Inc.
Subdivision Name
Sayers Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH06126D
Entity Address
1717 Sayers Street
Lufkin, TX 75904-1220
Grant Number
H80CS00793
Participating Start Date
9/26/2017
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #001
Pharmacy Address
4500 S PLEASANT VALLEY RD STE 201
AUSTIN, TX 78744-2911
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin L Moore, CEO, Authorizing Official
(936) 560-5413 Ext: 1101
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/12/2018
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