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PRISM HEALTH NORTH TEXAS PHARMACY
STD75204 AIDS Arms, Inc. d/b/a Prism Health North Texas
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Covered Entity Details
Entity Name
AIDS Arms, Inc. d/b/a Prism Health North Texas
Subdivision Name
Uptown Clinic
Type
Sexually Transmitted Diseases
340B ID
STD75204
Entity Address
2801 Lemmon Ave
Suite 400
Dallas, TX 75204
Grant Number
NH25PS005182
Participating Start Date
7/1/2019
Last Recertification Date
5/14/2024
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
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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