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ASPCARES
RWI89106 COMMUNITY OUTREACH MEDICAL CENTER
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Covered Entity Details
Entity Name
COMMUNITY OUTREACH MEDICAL CENTER
Subdivision Name
Type
Ryan White Part A
340B ID
RWI89106
Entity Address
2080 E. Flamingo Rd
Suite 302
Las Vegas, NV 89119
Grant Number
H89HA06900
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
4309 LEMMON AVE
DALLAS, TX 75219
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
kema ogden, Executive Director
(702) 604-6052
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
10/14/2020
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