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ABOUNDING PROSPERITY COMMUNITY PHARMACY
STD752151 Abounding Prosperity, Inc.
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Covered Entity Details
Entity Name
Abounding Prosperity, Inc.
Subdivision Name
HOPE Health Center
Type
Sexually Transmitted Diseases
340B ID
STD752151
Entity Address
Abounding Prosperity, Inc HOPE Health Center
1619 Martin Luther King Jr. Blvd
Dallas, TX 75215
Grant Number
NU62PS924529
Participating Start Date
10/1/2017
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
ABOUNDING PROSPERITY COMMUNITY PHARMACY
Pharmacy Address
AMERICAN STAR PHARMACY, INC
1705 MARTIN LUTHER KING JR BLVD STE A
DALLAS, TX 75215
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Moyle, Nurse Practitioner (only monitor 340b database on behalf of CEO Tamara Stephney))
(469) 213-9593
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
10/15/2019
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