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LIFECARE PHARMACY
RWI782071 Alamo Area Resource Center
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Covered Entity Details
Entity Name
Alamo Area Resource Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI782071
Entity Address
303 N. Frio
San Antonio, TX 78207
Grant Number
H89HA31891
Participating Start Date
1/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LIFECARE PHARMACY
Pharmacy Address
315 N. SAN SABA STE 110
SAN ANTONIO, TX 78207
Pharmacy Comments
Contract Details
Approval Date
10/5/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/9/2023
Ownership change
Contacts
Covered Entity Signing Official
Howard Rogers, Executive Director
(210) 591-0210
Contract Pharmacy Representative
Crawford Pharmacy
Prem Kalidindi, Owner
(210) 881-0890
Signed By Date
10/5/2018
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