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RENUE RX #1
CHC24197-09 Health Services of North Texas, Inc.
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Covered Entity Details
Entity Name
Health Services of North Texas, Inc.
Subdivision Name
HSNT Serve Denton Center
Type
HRSA-Funded Health Center
340B ID
CHC24197-09
Entity Address
306 N Loop 288
Ste 200
Denton, TX 76209-4887
Grant Number
H80CS24197
Participating Start Date
10/1/2020
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
RENUE RX #1
Pharmacy Address
FRISCO APOTHECARY, LP
3010 LEGACY DR STE 110
FRISCO, TX 75034
Pharmacy Comments
Contract Details
Approval Date
1/12/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Contract Pharmacy Representative
Renue Rx Pharmacy #1
Kishor Patel, Pharmacy Manager
(469) 294-2001
Signed By Date
1/12/2021
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