Contract Pharmacy Details

CARECENTER PHARMACY, L.L.C.
STD75219 Resource Center of Dallas

Covered Entity Details

Entity Name

Resource Center of Dallas

Subdivision Name

Health Campus

Type

Sexually Transmitted Diseases

340B ID

STD75219

Entity Address

2603 Inwood
Dallas, TX 75235

Grant Number

NH25PS005182

Participating Start Date

4/1/2018

Last Recertification Date

5/5/2025

Pharmacy Details

Pharmacy Name

CARECENTER PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 2477
208 S AKARD STREET
STE PC08
DALLAS, TX 75202

Pharmacy Comments

Contract Details

Approval Date

7/3/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/22/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/3/2018

340B Drug Pricing Program Database