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CHALLENGE CARE PHARMACY
RWI78208 San Antonio AIDS Foundation
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Covered Entity Details
Entity Name
San Antonio AIDS Foundation
Subdivision Name
Type
Ryan White Part A
340B ID
RWI78208
Entity Address
818 East Grayson Street
San Antonio, TX 78208-1013
Grant Number
H89HA31891
Participating Start Date
1/1/2013
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
CHALLENGE CARE PHARMACY
Pharmacy Address
CHALLENGE CARE PHARMACY LLC
6105 BEVERLYHILL ST STE 200
HOUSTON, TX 77057
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
5/15/2024
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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