Contract Pharmacy Details

ASPCARES
HV06021C VALLEY AIDS COUNCIL

Covered Entity Details

Entity Name

VALLEY AIDS COUNCIL

Subdivision Name

Type

Ryan White Part C

340B ID

HV06021C

Entity Address

857 E. WASHINGTON, SUITE G
BROWNSVILLE, TX 78520

Grant Number

H76HA00131

Participating Start Date

10/1/2022

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

ASPCARES

Pharmacy Address

8785 W BELLFORT ST STE A
HOUSTON, TX 77031-2403

Pharmacy Comments

Contract Details

Approval Date

7/18/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Wally Cantu, Executive Director
(956) 428-2653

Contract Pharmacy Representative

Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293

Signed By Date

7/18/2018