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AMAZON PHARMACY #001
CH061260 EAST TEXAS COMMUNITY HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
EAST TEXAS COMMUNITY HEALTH SERVICES, INC
Subdivision Name
Eastside Community Clinic #2
Type
HRSA-Funded Health Center
340B ID
CH061260
Entity Address
1309 S University Dr
Nacogdoches, TX 75961-6486
Grant Number
H80CS00793
Participating Start Date
12/1/1992
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
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBIN L. MOORE, CEO
(936) 560-5413
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
1/15/2018
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