Contract Pharmacy Details

PROCARE PHARMACY, L.L.C.
HV01710 AIDS ARMS, INC. d/b/a Prism Health North Texas

Covered Entity Details

Entity Name

AIDS ARMS, INC. d/b/a Prism Health North Texas

Subdivision Name

Oak Cliff Clinic

Type

Ryan White Part C

340B ID

HV01710

Entity Address

219 SUNSET AVENUE
Suite 116A
DALLAS, TX 75208-4531

Grant Number

H76HA01710

Participating Start Date

1/1/2013

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

PROCARE PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #2859
7950 FLOYD CURL DR. STE #106
SAN ANTONIO, TX 78229

Pharmacy Comments

Contract Details

Approval Date

1/13/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/14/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

John T. Carlo, CEO
(214) 521-5191

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/13/2020

340B Drug Pricing Program Database