340B Drug Pricing Program Database


STD752041 AIDS Arms, Inc. d/b/a Prism Health North Texas (Active) - information as of 6/26/2025 3:07:07 AM

Main Details
AIDS Arms, Inc. d/b/a Prism Health North Texas
Oak Lawn Health Center
Sexually Transmitted Diseases
STD752041
NH25PS005182


In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
The Texas Infertility Prevention Project provides screening supplies, laboratory services, medications for treatment, information and other resources for screening and treating sexually transmitted infections.
1/1/2021 - 2/28/2026


Additional Details
Active
7/2/2019
10/1/2019
9/4/2019
5/29/2025
CDC-RFA-PS19-1901

Contacts

AIDS Arms, Inc.
John T. Carlo, CEO
(214) 521-5191

AIDS Arms, Inc.
Sara Dingwall, Interim Pharmacy Director
(772) 202-8205

Addresses

2801 Lemmon Ave
Suite 200
Dallas, TX 75204

AIDS Arms, Inc.
3900 Junius street
300
Dallas, TX 75246


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/14/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/14/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/14/202004/01/2020 05/31/202306/02/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04844 812 BELTLINE RD
DECATURAL3560101/22/202104/01/2021 01/14/202401/14/2024
Contract DetailAVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181109/04/201910/01/2019  10/01/2019
Contract DetailAVITA PHARMACY 10306800 WEST LOOP S STE 225
BELLAIRETX7740107/16/202010/01/2020 01/14/202401/14/2024
Contract DetailAVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080807/16/202010/01/2020  10/01/2020
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/14/202004/01/2020  04/01/2020
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813310/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237410/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/21/202001/01/2021  01/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00609 1625 ELMWOOD AVE.
SPECTRUM BLDG
BUFFALONY1420701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02430 224 EAST 161ST STREET
BRONXNY1045101/22/202104/01/2021 05/17/202207/06/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/21/202001/01/2021  01/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10758 2501 N FIELD STREET
DALLASTX7520101/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06777 4207 LEMMON AVE.
DALLASTX7521901/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07742 5659 LEMMON AVE
DALLASTX7520901/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10670 4930 MAPLE AVE.
DALLASTX7523501/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10351 3133 E. LEMMON AVENUE
DALLASTX7520401/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06802 237 PIPELINE RD
BEDFORDTX7602210/21/202001/01/2021 06/15/202301/30/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07456 2427 W JEFFERSON BLVD
DALLASTX7521110/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07491 385 E BELT LINE RD
CEDAR HILLTX7510410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00296 2420 W. WHEATLAND RD.
DALLASTX7523710/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17134 301 CARROLL ST
FORT WORTHTX7610710/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16679 1600 W ARBROOK BLVD
ARLINGTONTX7601510/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08345 5195 LAKE RIDGE PKWY.
GRAND PRAIRIETX7505210/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00485 1233 PRECINCT LINE RD.
HURSTTX7605310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06864 701 FERRIS AVE
WAXAHACHIETX7516510/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08342 1305 WEST BELTLINE RD.
DESOTOTX7511510/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07631 2603 W BERRY ST
FORT WORTHTX7610910/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02991 6431 MCCART AVE.
FORT WORTHTX7613310/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07675 105 HARRIS AVE
RED OAKTX7515410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10634 2350 N. FITZHUGH AVENUE
DALLASTX7520410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05260 3401 W. WALNUT HILL LN.
IRVINGTX7503810/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16707 1401 W GLADE RD
EULESSTX7603910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07672 3798 FOREST LN
DALLASTX7524410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06781 2323 W ILLINOIS AVE
DALLASTX7522410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07647 5111 GREENVILLE AVE STE 140
DALLASTX7520610/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07288 11661 PRESTON RD. STE 218
DALLASTX7523010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04272 4202 ROSS AVE.
DALLASTX7520410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16364 9440 MARSH LN
DALLASTX7522010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07702 603 S CEDAR RIDGE DR
DUNCANVILLETX7513710/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07575 5012 TRL LAKE DR
FORT WORTHTX7613310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07623 4610 FRANKFORD RD
DALLASTX7528710/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07740 10455 N CENTRAL EXPY
DALLASTX7523110/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07278 4333 WESTERN CENTER BLVD
FORT WORTHTX7613710/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02979 6120 E. MOCKINGBIRD LN.
DALLASTX7521410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.CVS/PHARMACY # 10665 1555 EAST RENNER RD.
RICHARDSONTX7508210/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16312 2417 N HASKELL AVE
DALLASTX7520410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07413 10014 GARLAND RD
DALLASTX7521810/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07603 1301 N. SAGINAW BLVD.
SAGINAWTX7617910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07748 10003 MARSH LN
DALLASTX7522910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11065 9215 MIDWAY ROAD
DALLASTX7522010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08330 6320 RUFE SNOW DR
NORTH RICHLAND HILLSTX7618010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10576 3802 E BROAD STREET
MANSFIELDTX7606310/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03900 14041 NOEL RD.
DALLASTX7524010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07412 5370 W LOVERS LN STE 310
DALLASTX7520910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07149 2899 FOREST LANE
DALLASTX7523410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10324 6420 GASTON AVENUE
DALLASTX7521410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05962 3200 TEASLEY LN.
DENTONTX7621010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07624 1800 BROWN BLVD
ARLINGTONTX7600610/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05314 1411 MAIN ST.
DALLASTX7520210/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06775 701 E MAIN ST
GRAND PRAIRIETX7505010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07462 601 N INDUSTRIAL BLVD
BEDFORDTX7602110/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07756 2425 AVENUE J
GALVESTONTX7755001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03134 801 N. TARRANT PKWY.
KELLERTX7624801/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07664 1235 S BUCKNER BLVD
DALLASTX7521701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17400 39739 LBJ FWY
DALLASTX7523701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07467 460 NORTHWEST PARKWAY
AZLETX7602001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07272 3402 SLIDE RD.
LUBBOCKTX7941401/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07461 1100 N WALNUT CREEK DR
MANSFIELDTX7606301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07237 3614 CAMP BOWIE BLVD.
FORT WORTHTX7610701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07601 825 S. CROWLEY RD.,
CROWLEYTX7603601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 10056 5050 SOUTH LANCASTER RD
DALLASTX7521601/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.CVSPHARMACY # 17318 5270 S STATE HWY 360
GRAND PRAIRIETX7505201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07439 1101 GILMER ST.
SULPHUR SPRINGSTX7548201/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03707 6151 MATLOCK RD.
ARLINGTONTX7601801/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07417 11820 ELAM RD
BALCH SPRINGSTX7518001/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07806 2051 HALL JOHNSON RD
GRAPEVINETX7605101/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07729 1605 W 4TH ST #12
CAMERONTX7652001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04794 5900 W. PLEASANT RIDGE RD.
ARLINGTONTX7601601/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10911 150 EAST ILLINOIS AVE.
DALLASTX7521601/22/202104/01/2021 09/19/202411/19/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06968 901 E. PIONEER PKWY
ARLINGTONTX7601001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07476 5401 WASHINGTON AVE
HOUSTONTX7700701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07801 6000 BRYANT IRVIN RD
FORT WORTHTX7613201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07719 2900 W ANDERSON LN STE 10
AUSTINTX7875701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10487 1305 NORTH HIGHWAY 377
ROANOKETX7626201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08440 4205 N. JOSEY LN.
CARROLLTONTX7501001/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11091 111 EAST FM 407
ARGYLETX7622601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08318 4464 N. TARRANT PKWY
KELLERTX7624401/22/202104/01/2021 11/16/202301/30/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02976 6401 PRECINCT LINE RD.
NORTH RICHLAND HILLSTX7618201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05844 9390 FOREST LN.
DALLASTX7524310/23/202301/01/2024 07/16/202411/19/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07430 8555 FERGUSON RD
DALLASTX7522810/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16003 13131 MONTFORT DR
DALLASTX7524010/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06967 1425 E BUCKINGHAM RD
RICHARDSONTX7508110/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 10581 12740 ELDORADO PKWY.
FRISCOTX7503510/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07715 410 W ROCHELLE RD
IRVINGTX7506201/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05963 15105 PRESTON RD.
DALLASTX7524801/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02876 201 S. PRESTON RD.
PROSPERTX7507801/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16419 7845 N MACARTHUR BLVD
IRVINGTX7506301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16892 1400 PRECINCT LINE RD
HURSTTX7605301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01104 1540 E. MAIN ST.
ALLENTX7500201/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06965 7203 SKILLMAN ST.
DALLASTX7523101/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05259 2129 E. BELT LINE RD.
RICHARDSONTX7508101/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06966 6004 SAMUELL BLVD
DALLASTX7522801/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00334 8995 STACY RD.
MCKINNEYTX7507001/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06806 5010 WESLEY ST
GREENVILLETX7540101/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11389 8700 N BELT LINE RD
IRVINGTX75063-602501/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10909 6474 E. NORTHWEST HWY
DALLASTX7521401/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03180 2200 MATLOCK RD.
MANSFIELDTX7606301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17401 2025 N CENTRAL EXPY
MCKINNEYTX7507001/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07732 605 W. ENNIS AVE.
ENNISTX7511901/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07421 810 W PIONEER PKWY
GRAND PRAIRIETX7505101/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07440 17410 MARSH LN
DALLASTX7528701/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06824 8024 WALNUT HILL LN.
DALLASTX7523101/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10948 108 W. DAVIS ST.
DALLASTX7520801/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS/PHARMACY #10910 3030 SYLVAN AVE
DALLASTX7521201/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06960 2142 N JOSEY LN
CARROLLTONTX7500601/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04985 8335 WESTCHESTER DR., SUITE 140
DALLASTX7522501/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07431 3430 LAKEVIEW PKWY
ROWLETTTX7508801/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05894 13033 COIT RD.
DALLASTX7524001/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06779 3012 MOCKINGBIRD LN
DALLASTX7520501/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11015 18081 PRESTON ROAD
DALLASTX7525201/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00015 5500 N. MACARTHUR
IRVINGTX7503801/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06803 2222 N STORY RD
IRVINGTX7506201/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10523 270 STONEBROOK PKWY
FRISCOTX7503601/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10880 8580 N MACARTHUR BLVD
IRVINGTX7506301/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04625 525 W. PARKER RD.
PLANOTX7502301/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07453 2200 COIT RD.
PLANOTX7507501/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06963 7102 CAMPBELL RD
DALLASTX7524801/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10271 1510 W. HICKORY STREET
DENTONTX7620101/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16970 3730 BELT LINE RD
ADDISONTX7500101/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07490 507 CLARKSVILLE ST.
PARISTX7546001/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06856 116 W. UNIVERSITY DR
DENTONTX7620101/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07156 605 W. CAMPBELL RD.
RICHARDSONTX7508004/15/202407/01/2024  07/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11323 1115 8TH AVENUE
FORT WORTHTX7610404/15/202407/01/2024  07/01/2024
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/21/202001/01/2021  01/01/2021
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/17/202007/01/2020 01/14/202401/14/2024
Contract DetailDIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268310/12/202001/01/2021  01/01/2021
Contract DetailDISTRICT OF COLUMBIA CVS PHARMACY, L.L.CDBA: CVS/PHARMACY # 02787 3642 GEORGIA AVE.
WASHINGTONDC2001001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailDISTRICT OF COLUMBIA CVS PHARMACY, L.L.CDBA: CVS/PHARMACY # 02817 1418 P STREET NW
WASHINGTONDC2000501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/18/202101/01/2022  01/01/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09804 425 S. SUNRISE WAY
PALM SPRINGSCA9226201/22/202104/01/2021  04/01/2021
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09148 313 WASHINGTON ST.
SAN DIEGOCA9210301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09652 8491 SANTA MONICA BLVD
WEST HOLLYWOODCA9006901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16759 2525 4TH ST
EUREKACA9550101/19/202204/01/2022 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC2400 TRAWOOD DRIVE SUITE 303A
EL PASOTX7993607/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC9200 HEMPSTEAD RD STE 150 BLDG D
HOUSTONTX7700807/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC8535 TOM SLICK, STE 104
SAN ANTONIOTX7822907/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC7510 FM 1765 STE P1
TEXAS CITYTX7759107/07/202110/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 05987 4800 NORTH DAMEN
CHICAGOIL6062501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 08747 6150 N BROADWAY
CHICAGOIL6066001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 01493 5205 N. BROADWAY ST.
CHICAGOIL6064001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00170 839 N ORLANDO AVE
WINTER PARKFL3278901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHOOK-SUPERX, L.L.C.DBA: CVS/PHARMACY # 06603 5005 EAST 56TH ST.
INDIANAPOLISIN4622601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailKROGER PHARMACY2925 CUSTER ROAD
PLANOTX7507507/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY7505 N. MAC ARTHUR BLVD.
IRVINGTX7506307/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #4023612 N BELTLINE ROAD
IRVINGTX7506207/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #4511060 N MAIN STREET
EULESSTX7603907/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5094901 MAPLE AVE
DALLASTX7523507/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5185665 E MOCKINGBIRD
DALLASTX7520607/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5284142 CEDAR SPRINGS
DALLASTX7521907/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5294241 CAPITOL AVE
DALLASTX7520407/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5591406 WEST WALNUT
GARLANDTX7504207/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5672901 LAKE FOREST DRIVE
MCKINNEYTX7507207/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #579500 MARKETPLACE BLVD
FORNEYTX7512607/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #5873939 FRANKFORD ROAD
DALLASTX7528707/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #68917194 PRESTON ROAD
DALLASTX7524807/16/202010/01/2020  10/01/2020
Contract DetailKROGER PHARMACY #8703770 BELT LINE ROAD
ADDISONTX7500107/16/202010/01/2020  10/01/2020
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09752 375 GELLERT BLVD
DALY CITYCA9401501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailLONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D
LEXINGTONSC29072-245310/20/202101/01/2022 01/14/202401/14/2024
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05573 401 HWY 12 EAST
STARKVILLEMS3975901/22/202104/01/2021  04/01/2021
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05835 2401 NORTH HILLS STREET
MERIDIANMS3930501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08543 1914 SWIFT
N. KANSAS CITYMO6411601/22/202104/01/2021  04/01/2021
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08598 9005 EAST 350 HIGHWAY
RAYTOWNMO6413301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05719 621 SW 3RD STREET
LEES SUMMITMO6406301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02754 10170 GREEN LEVEL CHURCH RD.
CARYNC2751901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/23/202507/01/2025  04/23/2025
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/12/202001/01/2021  01/01/2021
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/12/202001/01/2021 01/14/202401/14/2024
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/12/202001/01/2021  01/01/2021
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999204/17/202007/01/2020 10/06/202210/31/2022
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACYEHP TEXAS LLC 4907 SPRING AVE STE 101
DALLASTX75210-136009/04/201910/01/2019  10/01/2019
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACY #2219 SUNSET AVE STE 116A, CONFERENCE 1A
DALLASTX75208-453107/07/202010/01/2020  10/01/2020
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACY #32801 LEMMON AVE STE 100
DALLASTX75204-239607/07/202010/01/2020  10/01/2020
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/14/202004/01/2020  04/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2859 7950 FLOYD CURL DR. STE #106
SAN ANTONIOTX7822901/14/202004/01/2020 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2751 426 S. HENDERSON STREET
FORT WORTHTX7610401/14/202004/01/2020  04/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/30/202404/01/2024  04/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/30/202404/01/2024  04/01/2024
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2642 5809 EAST LOVERS LANE
DALLASTX7520610/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3563 633 WHEATLAND RD
DUNCANVILLETX7511610/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3614 315 SOUTH HAMPTON
DALLASTX7520810/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2990 7117 INWOOD
DALLASTX7520910/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #1540 3757 FOREST LN
DALLASTX7523410/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2544 10455 N. CENTRAL EXPWY
DALLASTX7523110/12/202001/01/2021  01/01/2021
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3296 2380 N FIELD ST
DALLASTX7520110/12/202001/01/2021  01/01/2021
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15318 3826 CEDAR SPRINGS RD
DALLASTX7521909/04/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 07839 3802 CEDAR SPRINGS ROAD
DALLASTX7521909/04/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 05092 3418 MCKINNEY AVE
DALLASTX7520409/04/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 05093 1306 N BECKLEY AVE
DALLASTX7520309/04/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16538 7859 WALNUT HILL LN STE 110
DALLASTX7523009/04/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 04203 438 W. ILLINOIS AVE.
DALLASTX7522410/15/201901/01/2020  01/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 04013 18207 MIDWAY ROAD
DALLASTX7528704/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 06660 5742 E MOCKINGBIRD LANE
DALLASTX7520604/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS #13930 11700 PRESTON RD.
SUITE 703
DALLASTX7523004/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 09647 5201 BELTLINE RD
DALLASTX7525404/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 07334 5001 ROSS AVE
DALLASTX75206-770604/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 03879 3732 W NORTHWEST HWY
DALLASTX7522004/15/202007/01/2020  07/01/2020
Contract DetailWalgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200
NorthlakeTX7626210/20/202101/01/2022  01/01/2022
Contract DetailWALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528404/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/17/202007/01/2020 10/01/202104/12/2023
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/17/202007/01/2020 01/14/202401/14/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528604/17/202007/01/2020  07/01/2020
Contract DetailWARM SPRINGS ROAD CVS, L.L.C.DBA: CVS/PHARMACY # 06867 4490 PARADISE RD.
LAS VEGASNV8916901/22/202104/01/2021 01/14/202401/14/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification5/14/2024 6:03:48 PM5/29/2025 9:19:43 AM5/29/2025 9:19 AM
DetailsNature of Support: Support Received To DateUpdateChange Request1/31/2025 12:00:00 AM2/28/2026 12:00:00 AM3/17/2025 3:37 PM
ContactsPrimary ContactUpdateChange RequestDingwall, Sara 340B Director AIDS Arms, Inc. 7722028205Dingwall, Sara Interim Pharmacy Director AIDS Arms, Inc. 77220282058/29/2024 7:46 AM
DetailsLast Recertification DateUpdateRecertification5/9/2023 4:30:27 PM5/14/2024 6:03:48 PM5/14/2024 6:03 PM
DetailsNature of Support: Support Received To DateUpdateChange Request8/31/2023 12:00:00 AM1/31/2025 12:00:00 AM1/30/2024 2:49 PM
DetailsLast Recertification DateUpdateRecertification5/10/2022 5:12:08 PM5/9/2023 4:30:27 PM5/9/2023 4:30 PM
DetailsNature of Support: Support Received To DateUpdateChange Request12/31/2023 12:00:00 AM8/31/2023 12:00:00 AM4/5/2023 6:23 PM
ContactsPrimary ContactUpdateChange RequestDingwell, Sara 340B Director AIDS Arms, Inc. 7722028205Dingwall, Sara 340B Director AIDS Arms, Inc. 77220282051/30/2023 2:06 PM
ContactsPrimary ContactUpdateChange RequestReese, Kimberly Compliance Officer AIDS ARMS, INC. d/b/a Prism Health North Texas 4698022504Dingwell, Sara 340B Director AIDS Arms, Inc. 77220282051/23/2023 6:27 AM
DetailsLast Recertification DateUpdateRecertification5/5/2021 7:20:42 AM5/10/2022 5:12:08 PM5/10/2022 5:12 PM
AddressesBilling AddressUpdateChange RequestAIDS Arms, Inc. 351 West Jefferson Blvd. 300 Dallas, TX 75208AIDS Arms, Inc. 3900 Junius street 300 Dallas, TX 752461/19/2022 3:54 PM
DetailsNature of Support: Support Received To DateUpdateChange Request12/31/2021 12:00:00 AM12/31/2023 12:00:00 AM9/30/2021 7:05 PM
DetailsNature of Support: In Kind Support DescriptionUpdateRecertification The Texas Infertility Prevention Project provides screening supplies, laboratory services, medications for treatment, information and other resources for screening and treating sexually transmitted infections.5/5/2021 7:20 AM
DetailsNature of Support: Support Received From DateUpdateRecertification 1/1/2021 12:00:00 AM5/5/2021 7:20 AM
DetailsNature of Support: Support Received To DateUpdateRecertification 12/31/2021 12:00:00 AM5/5/2021 7:20 AM
DetailsLast Recertification DateUpdateRecertification5/20/2020 11:33:49 AM5/5/2021 7:20:42 AM5/5/2021 7:20 AM
DetailsNOFO NumberUpdateRecertification CDC-RFA-PS19-19015/5/2021 7:20 AM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas214-521-5191 4698022504Reese, Kimberly Compliance Officer AIDS ARMS, INC. d/b/a Prism Health North Texas 46980225043/19/2021 3:56 PM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas 4698022504Reese, Kimberly Compliance Officer Prism Health North Texas214-521-5191 46980225042/3/2021 1:51 PM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas 2145215191-3338Reese, Kimberly Compliance Officer Prism Health North Texas 46980225042/3/2021 11:18 AM
DetailsEntity NameUpdateChange RequestAIDS Arms, Inc.AIDS Arms, Inc. d/b/a Prism Health North Texas9/25/2020 11:17 AM
DetailsLast Recertification DateUpdateRecertification 5/20/2020 11:33:49 AM5/20/2020 11:33 AM
DetailsGrant NumberUpdateRecertification1H25PS004360-02NH25PS0051825/20/2020 11:33 AM
AddressesMain AddressUpdateChange Request 2801 Lemmon Ave 200 Dallas, TX 75204 2801 Lemmon Ave Suite 200 Dallas, TX 752044/15/2020 11:09 AM
ContactsPrimary ContactUpdateChange RequestKOUAME, GILBERT CHIEF FINANCIAL OFFICER AIDS Arms, Inc. 2145215191Reese, Kimberly Compliance Officer Prism Health North Texas 2145215191-333812/31/2019 7:40 AM
DetailsStateUpdate ApprovedActive10/1/2019 12:04 AM
ContactsSigned ByInsertNew Registration Carlo, John T. CEO AIDS Arms, Inc. 21452151919/4/2019 3:40 PM
Details340B IDUpdateNew Registration STD7520419/4/2019 3:40 PM
DatesParticipating Approval DateUpdateNew Registration 9/4/2019 3:40:53 PM9/4/2019 3:40 PM
DetailsStateUpdateNew RegistrationPendingApproved9/4/2019 3:40 PM
DatesSigned By DateUpdateNew Registration 7/2/2019 6:23:11 PM9/4/2019 3:40 PM
DatesStart DateUpdateNew Registration 10/1/2019 12:00:00 AM9/4/2019 3:40 PM
AddressesMain AddressInsertNew Registration  2801 Lemmon Ave 200 Dallas, TX 752047/2/2019 6:23 PM
AddressesBilling AddressInsertNew Registration AIDS Arms, Inc. 351 West Jefferson Blvd. 300 Dallas, TX 752087/2/2019 6:23 PM
DetailsNature Of SupportInsertNew Registration In-Kind products or services (see note below; must have been purchased with section 318 funds)7/2/2019 6:23 PM
ContactsPrimary ContactInsertNew Registration KOUAME, GILBERT CHIEF FINANCIAL OFFICER AIDS Arms, Inc. 21452151917/2/2019 6:23 PM
ContactsAuthorizing OfficialInsertNew Registration Carlo, John T. CEO AIDS Arms, Inc. 21452151917/2/2019 6:23 PM
DetailsLast Recertification DateInsertNew Registration  7/2/2019 6:23 PM
DetailsGrant NumberInsertNew Registration 1H25PS004360-027/2/2019 6:23 PM
Details340B IDInsertNew Registration  7/2/2019 6:23 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/2/2019 6:23 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/2/2019 6:23 PM
DetailsMedicare Provider NumberInsertNew Registration  7/2/2019 6:23 PM
DetailsEntity NameInsertNew Registration AIDS Arms, Inc.7/2/2019 6:23 PM
DetailsProgram CodeInsertNew Registration STD7/2/2019 6:23 PM
DetailsEntity SubnameInsertNew Registration Oak Lawn Health Center7/2/2019 6:23 PM
DatesParticipating Approval DateInsertNew Registration  7/2/2019 6:23 PM
DetailsStateInsertNew Registration Pending7/2/2019 6:23 PM
DatesRegistration DateInsertNew Registration 7/2/2019 6:23:09 PM7/2/2019 6:23 PM
DatesSigned By DateInsertNew Registration  7/2/2019 6:23 PM
DatesStart DateInsertNew Registration  7/2/2019 6:23 PM
TerminationsTermination CommentsInsertNew Registration  7/2/2019 6:23 PM
TerminationsTermination DateInsertNew Registration  7/2/2019 6:23 PM
TerminationsTermination Effective DateInsertNew Registration  7/2/2019 6:23 PM
TerminationsTermination ReasonInsertNew Registration  7/2/2019 6:23 PM