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RENUE RX #1
RWII762011A 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 South Center
Type
Ryan White Part B
340B ID
RWII762011A
Entity Address
3537 South I35E
Suite 210
Denton, TX 76210-6869
Grant Number
X07HA00054
Participating Start Date
10/1/2020
Last Recertification Date
2/20/2025
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
8/28/2020
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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