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RENUE RX #1
CHC24197-01 Health Services of North Texas, Inc.
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Covered Entity Details
Entity Name
Health Services of North Texas, Inc.
Subdivision Name
HSNT Denton Medical Center 4308
Type
HRSA-Funded Health Center
340B ID
CHC24197-01
Entity Address
4308 Mesa Dr
Denton, TX 76207-3459
Grant Number
H80CS24197
Participating Start Date
10/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
RENUE RX #1
Pharmacy Address
REMOTE SITE
306 N LOOP 288 STE 210
DENTON, TX 76209
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Contract Pharmacy Representative
Renue RX #1
Raj M Chhadua, Managing Partner/CEO
(214) 422-2598
Signed By Date
7/15/2020
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