340B Drug Pricing Program Database
CVS PHARMACY, INC.
STD75215 AIDS Arms, Inc.d/b/a Prism Health North Texas - information as of 6/6/2025 1:05:30 PM
Covered Entity Details
Entity Name
AIDS Arms, Inc.d/b/a Prism Health North Texas
Subdivision Name
South Dallas Clinic
Type
Sexually Transmitted Diseases
340B ID
STD75215
Entity Address
4922 Spring Ave
Dallas, TX 75210-1359
Grant Number
NH25PS005182
Participating Start Date
4/1/2015
Last Recertification Date
5/29/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
DBA: CVS/PHARMACY # 03180
2200 MATLOCK RD.
MANSFIELD, TX 76063
Pharmacy Comments
Contract Details
Approval Date
1/30/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/30/2024
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