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GOODSENSE PHARMACY
RW424844 Your Health Clinic
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Covered Entity Details
Entity Name
Your Health Clinic
Subdivision Name
Type
Ryan White Part D
340B ID
RW424844
Entity Address
1521 Baker Road
Sherman, TX 75090
Grant Number
H12HA24844
Participating Start Date
1/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GOODSENSE PHARMACY
Pharmacy Address
8042 WURZBACH RD
STE 150
SAN ANTONIO, TX 78229-3831
Pharmacy Comments
Contract Details
Approval Date
7/10/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gwynne Palmore, Executive Director
(903) 891-1972
Contract Pharmacy Representative
Nota Consulting Group, LLC
Fungisai Nota, 340B Program Manager
(610) 742-7763
Signed By Date
7/10/2019
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