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GEM DRUGS INC
RW431241 San Antonio AIDS Foundation
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Covered Entity Details
Entity Name
San Antonio AIDS Foundation
Subdivision Name
Type
Ryan White Part D
340B ID
RW431241
Entity Address
818 E. Grayson St.
San Antonio, TX 78208
Grant Number
H12HA31241
Participating Start Date
4/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GEM DRUGS INC
Pharmacy Address
139 CENTRAL AVE
RESERVE, LA 70084-6001
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/2/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Cynthia Nelson, Chief Executive Officer
(210) 225-4715 Ext: 122
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
10/15/2019
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