340B Drug Pricing Program Database
WALGREEN CO.
HV01710D AIDS ARMS, INC. d/b/a Prism Health North Texas - information as of 5/9/2025 11:00:53 PM
Covered Entity Details
Entity Name
AIDS ARMS, INC. d/b/a Prism Health North Texas
Subdivision Name
Worth Street
Type
Ryan White Part C
340B ID
HV01710D
Entity Address
4004 Worth Street
Suite 100
Dallas, TX 75246
Grant Number
H76HA01710
Participating Start Date
4/1/2021
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09647
5201 BELTLINE RD
DALLAS, TX 75254
Pharmacy Comments
Contract Details
Approval Date
9/22/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
9/22/2021
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