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RAY'S TOWN NORTH PHARMACY
CH0622450 NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC
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Covered Entity Details
Entity Name
NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC
Subdivision Name
North Texas Area Community Health Centers, Inc.
Type
HRSA-Funded Health Center
340B ID
CH0622450
Entity Address
2332 Beverly Hills Drive
Fort Worth, TX 76114
Grant Number
H80CS06457
Participating Start Date
11/18/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
RAY'S TOWN NORTH PHARMACY
Pharmacy Address
ALSABROOK INC
975 N COOPER ST
ARLINGTON, TX 76011
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gerrie Whitaker, CEO
(817) 546-6478
Contract Pharmacy Representative
Rays Town North Pharmacy
Jeff Alsabrook, Owner
(817) 832-2626
Signed By Date
1/14/2019
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