340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER PHARMACY #518
HV01710C AIDS Arms, Inc., d/b/a Prism Health North Texas
Print
Covered Entity Details
Entity Name
AIDS Arms, Inc., d/b/a Prism Health North Texas
Subdivision Name
Oak Lawn Health Center
Type
Ryan White Part C
340B ID
HV01710C
Entity Address
2801 Lemmon Ave
Suite 200
Dallas, TX 75204
Grant Number
H76HA01710
Participating Start Date
10/1/2019
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #518
Pharmacy Address
5665 E MOCKINGBIRD
DALLAS, TX 75206
Pharmacy Comments
Contract Details
Approval Date
7/16/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/16/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session