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PRISM HEALTH NORTH TEXAS PHARMACY
RWI75215A AIDS ARMS, INC.
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Covered Entity Details
Entity Name
AIDS ARMS, INC.
Subdivision Name
Uptown Clinic
Type
Ryan White Part A
340B ID
RWI75215A
Entity Address
2801 Lemmon Ave
400
Dallas, TX 75204
Grant Number
H89HA00014
Participating Start Date
7/1/2019
Last Recertification Date
2/10/2022
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
PRISM HEALTH NORTH TEXAS PHARMACY
Pharmacy Address
EHP TEXAS LLC
4907 SPRING AVE STE 101
DALLAS, TX 75210-1360
Pharmacy Comments
Contract Details
Approval Date
7/2/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/10/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
Equitas Health
Nick Saltman, Interim Chief Pharmacy Officer
(614) 987-5621
Signed By Date
7/2/2019
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