Covered Entity Details

RWII75219 Resource Center of Dallas (Active) - information as of 5/5/2025 11:59:51 PM

Main Details

Name

Resource Center of Dallas

Subdivision Name

Type

Ryan White Part B

340B ID

RWII75219

Grant Number

X07HA00054

Additional Details

Current Program Status

Active

Registration Date

4/1/2015

Participating Start Date

7/1/2015

Participating Approval Date

5/21/2015

Last Recertification Date

2/10/2025

Time Period the Assistance was Received

4/1/2025 - 3/31/2026

Contacts

Authorizing Official

Resource Center
Marisa Elliott, Chief Operating Officer
(214) 540-4454

Primary Contact

Resource Center
Cece Cox, Chief Executive Officer
(214) 528-0144

Addresses

Street Address

2701 Reagan Street
Dallas, TX 75219

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ABOUNDING PROSPERITY COMMUNITY PHARMACY	AMERICAN STAR PHARMACY, INC	1619 MARTIN LUTHER KING JR BLVD SUITE B	DALLAS	TX	75215	10/02/2020	01/01/2021	09/26/2022	09/26/2022
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/10/2023	07/01/2023		07/01/2023
Contract Detail	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/15/2024	10/01/2024		10/01/2024
Contract Detail	ASPCARES	13988 DIPLOMAT DR STE 100B		FARMERS BRANCH	TX	75234-8807	10/06/2015	01/01/2016	09/26/2022	09/26/2022
Contract Detail	ASPCARES	1219 BARRANCA DR.	STE. A	EL PASO	TX	79935	04/01/2016	07/01/2016	04/02/2018	04/02/2018
Contract Detail	ASPCARES	8785 W BELLFORT ST STE A		HOUSTON	TX	77031-2403	04/13/2017	07/01/2017	09/26/2022	09/26/2022
Contract Detail	ASPCARES	4309 LEMMON AVE		DALLAS	TX	75219	07/17/2018	10/01/2018	09/26/2022	09/26/2022
Contract Detail	AVITA PHARMACY 1028	340B PARTNERS PHARMACY-DALLAS LLC DBA AV	750 FORT WORTH AVE STE H100	DALLAS	TX	75208-1811	07/17/2015	10/01/2015		07/17/2015
Contract Detail	AVITA PHARMACY 1029	340B PARTNERS PHARMACY LLC D/B/A AVITA P	303 N FRIO ST SUITE 102	SAN ANTONIO	TX	78207-3034	07/17/2015	10/01/2015		07/17/2015
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	07/17/2015	10/01/2015		07/17/2015
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/13/2023	01/01/2024		01/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	10/13/2023	01/01/2024		01/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	10/13/2023	01/01/2024		01/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	07/01/2024	10/01/2024		10/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	07/01/2024	10/01/2024		10/01/2024
Contract Detail	CARECENTER PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 2477	208 S AKARD STREET STE PC08	DALLAS	TX	75202	07/03/2018	10/01/2018	12/22/2021	01/07/2022
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/12/2018	10/01/2018		10/01/2018
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	02/16/2021	02/16/2021		02/16/2021
Contract Detail	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	07/15/2024	10/01/2024		10/01/2024
Contract Detail	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	07/15/2024	10/01/2024		10/01/2024
Contract Detail	CHALLENGE CARE PHARMACY	CHALLENGE CARE PHARMACY LLC	6105 BEVERLYHILL ST STE 200	HOUSTON	TX	77057	10/02/2020	01/01/2021	09/26/2022	09/26/2022
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10351	3133 E. LEMMON AVENUE	DALLAS	TX	75204	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10670	4930 MAPLE AVE.	DALLAS	TX	75235	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16312	2417 N HASKELL AVE	DALLAS	TX	75204	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10758	2501 N FIELD STREET	DALLAS	TX	75201	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 04272	4202 ROSS AVE.	DALLAS	TX	75204	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07742	5659 LEMMON AVE	DALLAS	TX	75209	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06777	4207 LEMMON AVE.	DALLAS	TX	75219	07/03/2018	10/01/2018		10/01/2018
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07664	1235 S BUCKNER BLVD	DALLAS	TX	75217	01/06/2020	04/01/2020		04/01/2020
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06781	2323 W ILLINOIS AVE	DALLAS	TX	75224	02/16/2021	02/16/2021		02/16/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07413	10014 GARLAND RD	DALLAS	TX	75218	02/16/2021	02/16/2021		02/16/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06865	1099 W. MAIN STREET	LEWISVILLE	TX	75067	07/06/2021	10/01/2021		10/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07481	1372 BELTLINE RD	GARLAND	TX	75040	07/06/2021	10/01/2021		10/01/2021
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16003	13131 MONTFORT DR	DALLAS	TX	75240	07/06/2021	10/01/2021		10/01/2021
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 06776	5429 ROSS AVE	DALLAS	TX	75206	10/06/2021	01/01/2022	07/07/2022	07/08/2022
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 03900	14041 NOEL RD.	DALLAS	TX	75240	01/05/2022	04/01/2022		04/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10634	2350 N. FITZHUGH AVENUE	DALLAS	TX	75204	07/07/2022	10/01/2022		10/01/2022
Contract Detail	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 05894	13033 COIT RD.	DALLAS	TX	75240	10/03/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	DBA CVS/PHARMACY #10324	6420 GASTON AVENUE	DALLAS	TX	75214	10/03/2022	01/01/2023		01/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16014	120 W PARKER RD	PLANO	TX	75075	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16364	9440 MARSH LN	DALLAS	TX	75220	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16419	7845 N MACARTHUR BLVD	IRVING	TX	75063	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16585	907 W MCDERMOTT DR	ALLEN	TX	75013	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16821	5301 N GARLAND AVE	GARLAND	TX	75040	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16891	8000 DENTON HWY	WATAUGA	TX	76148	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16892	1400 PRECINCT LINE RD	HURST	TX	76053	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16901	16731 COIT RD	DALLAS	TX	75248	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16907	6419 SKILLMAN ST	DALLAS	TX	75231	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16957	739 N HIGHWAY 67	CEDAR HILL	TX	75104	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 16970	3730 BELT LINE RD	ADDISON	TX	75001	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS PHARMACY, INC.	CVS PHARMACY # 17581	1629 N TOWN EAST BLVD	MESQUITE	TX	75150	04/14/2023	07/01/2023		07/01/2023
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/06/2020	04/01/2020		04/01/2020
Contract Detail	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	10/13/2023	01/01/2024		01/01/2024
Contract Detail	EPIC PHARMACY	EPIC PHARMACY LLC	2249 NW 39TH ST	OKLAHOMA CITY	OK	73112	10/05/2020	01/01/2021	09/26/2022	09/26/2022
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/10/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/10/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/10/2018	01/01/2019	01/01/2023	01/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/10/2023	07/01/2023		07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/10/2023	07/01/2023		07/01/2023
Contract Detail	HEB PHARMACY #790	6001 PRESTON RD	STE 100	PLANO	TX	75093	07/15/2024	10/01/2024		10/01/2024
Contract Detail	HEB PHARMACY WAREHOUSE 208	H-E-B, LP	5311 DIETRICH RD STE 100	SAN ANTONIO	TX	78219	07/15/2024	10/01/2024		10/01/2024
Contract Detail	HEB SPECIALTY PHARMACY #701	3503 FREDERICKSBURG RD	STE 450	SAN ANTONIO	TX	78201	07/15/2024	10/01/2024		10/01/2024
Contract Detail	KROGER PHARMACY #509	4901 MAPLE AVE		DALLAS	TX	75235	04/13/2022	07/01/2022	04/21/2025	04/21/2025
Contract Detail	KROGER PHARMACY #528	4142 CEDAR SPRINGS		DALLAS	TX	75219	04/13/2022	07/01/2022	04/21/2025	04/21/2025
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	10/14/2022	01/01/2023		01/01/2023
Contract Detail	NORTH TX INFUSION & SPECIALTY PHARMACY L	3409 WORTH STREET, SUITE 725		DALLAS	TX	75246	04/07/2023	07/01/2023		07/01/2023
Contract Detail	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	10/03/2023	01/01/2024		01/01/2024
Contract Detail	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/03/2023	01/01/2024		01/01/2024
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/12/2018	10/01/2018		10/01/2018
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2751	426 S. HENDERSON STREET	FORT WORTH	TX	76104	07/03/2018	10/01/2018		10/01/2018
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	02/16/2021	02/16/2021		02/16/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	02/16/2021	02/16/2021		02/16/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	02/16/2021	02/16/2021		02/16/2021
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2859	7950 FLOYD CURL DR. STE #106	SAN ANTONIO	TX	78229	02/16/2021	02/16/2021		02/16/2021
Contract Detail	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	10/13/2023	01/01/2024		01/01/2024
Contract Detail	REVAN RX	REVAN INC	5601 NW 72ND ST STE 142	WARR ACRES	OK	73132-5923	10/02/2020	01/01/2021	09/26/2022	09/26/2022
Contract Detail	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	10/13/2023	01/01/2024		01/01/2024
Contract Detail	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	10/13/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15318	3826 CEDAR SPRINGS RD	DALLAS	TX	75219	05/26/2015	07/01/2015		05/26/2015
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07839	3802 CEDAR SPRINGS ROAD	DALLAS	TX	75219	05/26/2015	07/01/2015		05/26/2015
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05092	3418 MCKINNEY AVE	DALLAS	TX	75204	05/26/2015	07/01/2015		05/26/2015
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05093	1306 N BECKLEY AVE	DALLAS	TX	75203	01/06/2017	04/01/2017		01/06/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09647	5201 BELTLINE RD	DALLAS	TX	75254	01/06/2017	04/01/2017		01/06/2017
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16538	7859 WALNUT HILL LN STE 110	DALLAS	TX	75230	10/02/2017	01/01/2018		10/02/2017
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07334	5001 ROSS AVE	DALLAS	TX	75206-7706	01/06/2020	04/01/2020		04/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09410	1007 E TYLER ST	ATHENS	TX	75751	01/06/2020	04/01/2020		04/01/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05509	13260 JOSEY LANE STE 100	FARMERS BRANCH	TX	75234	10/06/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 05213	750 N WALNUT CREEK DR	MANSFIELD	TX	76063	10/06/2021	01/01/2022		01/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 03824	4435 GUS THOMASSON RD	MESQUITE	TX	75150	01/05/2022	04/01/2022		04/01/2022
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #21375	3910 GASTON AVE STE 125	DALLAS	TX	75246	04/02/2024	07/01/2024		07/01/2024
Contract Detail	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	10/06/2021	01/01/2022		01/01/2022
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/06/2020	04/01/2020		04/01/2020
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/11/2023	07/01/2023		07/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Assistance Received From Date	Update	Change Request	9/1/2022 12:00:00 AM	4/1/2025 12:00:00 AM	4/1/2025 5:09 PM
Details	Assistance Received To Date	Update	Change Request	3/31/2025 12:00:00 AM	3/31/2026 12:00:00 AM	4/1/2025 5:09 PM
Details	Assistance Received To Date	Update	Change Request	3/1/2025 12:00:00 AM	3/31/2025 12:00:00 AM	3/17/2025 4:15 PM
Details	Last Recertification Date	Update	Recertification	1/29/2024 10:49:37 AM	2/10/2025 8:40:48 AM	2/10/2025 8:40 AM
Details	Assistance Received To Date	Update	Change Request	8/31/2024 12:00:00 AM	3/1/2025 12:00:00 AM	11/5/2024 5:15 PM
Details	Last Recertification Date	Update	Recertification	1/30/2023 3:20:00 PM	1/29/2024 10:49:37 AM	1/29/2024 10:49 AM
Details	NOFO Number	Update		HRSA-20-065		12/16/2023 10:34 AM
Addresses	Billing Address	Insert	Change Request		Resource Center of Dallas 5750 Cedar Springs Road Dallas, TX 75235	9/18/2023 4:20 PM
Addresses	Main Address	Update	Change Request	5750 Cedar Springs Rd Dallas, TX 75235	2701 Reagan Street Dallas, TX 75219	9/18/2023 4:20 PM
Details	Assistance Received To Date	Update	Change Request	8/31/2023 12:00:00 AM	8/31/2024 12:00:00 AM	9/18/2023 4:20 PM
Details	Entity Name	Update	Change Request	Resource Center Dallas	Resource Center of Dallas	9/18/2023 4:20 PM
Details	Assistance Received From Date	Update	Recertification	9/1/2020 12:00:00 AM	9/1/2022 12:00:00 AM	1/30/2023 3:20 PM
Details	Assistance Received To Date	Update	Recertification	8/31/2021 12:00:00 AM	8/31/2023 12:00:00 AM	1/30/2023 3:20 PM
Details	Last Recertification Date	Update	Recertification	1/31/2022 12:17:42 PM	1/30/2023 3:20:00 PM	1/30/2023 3:20 PM
Details	Last Recertification Date	Update	Recertification	2/16/2021 8:58:04 AM	1/31/2022 12:17:42 PM	1/31/2022 12:17 PM
Details	Assistance Received From Date	Update	Recertification		9/1/2020 12:00:00 AM	2/16/2021 8:58 AM
Details	Assistance Received To Date	Update	Recertification		8/31/2021 12:00:00 AM	2/16/2021 8:58 AM
Details	Last Recertification Date	Update	Recertification	1/27/2020 12:00:10 PM	2/16/2021 8:58:04 AM	2/16/2021 8:58 AM
Details	NOFO Number	Update	Recertification		HRSA-20-065	2/16/2021 8:58 AM
Details	Last Recertification Date	Update	Recertification	1/28/2019 5:58:44 PM	1/27/2020 12:00:10 PM	1/27/2020 12:00 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 11:58:53 AM	1/28/2019 5:58:44 PM	1/28/2019 5:58 PM
Details	Last Recertification Date	Update	Recertification	1/26/2017 12:00:00 AM	2/7/2018 11:58:53 AM	2/7/2018 11:58 AM
Contacts	Primary Contact	Update	Change Request	Cox, Cece Chief Executive Officer 2145280144	Cox, Cece Chief Executive Officer Resource Center 2145280144	9/18/2017 1:06 PM
Contacts	Authorizing Official	Update		Elliott, Marisa Chief Operating Officer 2145404454	Elliott, Marisa Chief Operating Officer Resource Center 2145404454	9/18/2017 12:52 PM
Contacts	Signed By	Update		Elliott, Marisa Chief Operating Officer 2145404454	Elliott, Marisa Chief Operating Officer Resource Center 2145404454	9/18/2017 12:52 PM
Contacts	Authorizing Official	Insert			Elliott, Marisa Chief Operating Officer 2145404454	5/2/2017 1:23 PM
Contacts	Signed By	Insert			Elliott, Marisa Chief Operating Officer 2145404454	5/2/2017 1:23 PM
Addresses	Main Address	Insert			5750 Cedar Springs Rd Dallas, TX 75235	1/26/2017 9:57 AM
Contacts	Primary Contact	Insert			Cox, Cece Chief Executive Officer 2145280144	1/26/2017 9:57 AM
Details	Last Recertification Date	Update		2/12/2016 12:00:00 AM	1/26/2017 12:00:00 AM	1/26/2017 9:57 AM
Details	Last Recertification Date	Update			2/12/2016 12:00:00 AM	2/12/2016 10:03 AM
Dates	Participating Approval Date	Update			5/21/2015 12:00:00 AM	5/21/2015 3:50 PM
Details	State	Update		Pending	Active	5/21/2015 3:50 PM
Dates	Start Date	Update			7/1/2015 12:00:00 AM	5/21/2015 3:50 PM
Details	Grant Number	Update			X07HA00054	5/20/2015 9:07 AM
Details	340B ID	Update		RWIID75219	RWII75219	5/20/2015 9:06 AM
Details	340B ID	Update		ONLINE_REG_50214	RWIID75219	5/20/2015 9:06 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_50214	4/1/2015 10:51 AM
Details	Last Recertification Date	Insert				4/1/2015 10:51 AM
Details	Grant Number	Insert				4/1/2015 10:51 AM
Details	340B ID	Insert			ONLINE_REG	4/1/2015 10:51 AM
Details	Is Authorizing Official EHB Data	Insert				4/1/2015 10:51 AM
Dates	Last Date That 340B Drugs Purchased	Insert				4/1/2015 10:51 AM
Details	Medicare Provider Number	Insert				4/1/2015 10:51 AM
Details	Entity Name	Insert			Resource Center Dallas	4/1/2015 10:51 AM
Details	Program Code	Insert			RWII	4/1/2015 10:51 AM
Details	Entity Subname	Insert				4/1/2015 10:51 AM
Dates	Participating Approval Date	Insert				4/1/2015 10:51 AM
Details	State	Insert			Pending	4/1/2015 10:51 AM
Dates	Registration Date	Insert			4/1/2015 12:00:00 AM	4/1/2015 10:51 AM
Dates	Signed By Date	Insert			4/1/2015 12:00:00 AM	4/1/2015 10:51 AM
Dates	Start Date	Insert				4/1/2015 10:51 AM
Terminations	Termination Comments	Insert				4/1/2015 10:51 AM
Terminations	Termination Date	Insert				4/1/2015 10:51 AM
Terminations	Termination Effective Date	Insert				4/1/2015 10:51 AM
Terminations	Termination Reason	Insert				4/1/2015 10:51 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History