Contract Pharmacy Details

CARIE BOYD PHARMACEUTICALS
RWI76201 Health Services of North Texas, Inc.

Covered Entity Details

Entity Name

Health Services of North Texas, Inc.

Subdivision Name

HSNT Administrative Office

Type

Ryan White Part A

340B ID

RWI76201

Entity Address

4401 N INTERSTATE 35
Unit 312
DENTON, TX 76207

Grant Number

H89HA00014

Participating Start Date

1/1/2003

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

CARIE BOYD PHARMACEUTICALS

Pharmacy Address

2501 W OAK ST STE 100
DENTON, TX 76201

Pharmacy Comments

Contract Details

Approval Date

12/19/2009

Contract Begin Date

12/19/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/21/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

RONALD G. ALDRIDGE, EXECUTIVE DIRECTOR
(940) 381-1501 Ext: 113

Contract Pharmacy Representative

DPS
Rick Appling, CEO
(940) 982-6758

Signed By Date

6/1/2009

340B Drug Pricing Program Database