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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
HV00684 Health Horizons of East Texas, Inc.
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Covered Entity Details
Entity Name
Health Horizons of East Texas, Inc.
Subdivision Name
Brown Family Health Center, Inc.
Type
Ryan White Part C
340B ID
HV00684
Entity Address
1407 East Main Street
Nacogdoches, TX 75961
Grant Number
H76HA00684
Participating Start Date
10/1/2011
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
Pharmacy Address
1004 N 19TH ST
MONROE, LA 71201-5734
Pharmacy Comments
11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);
Contract Details
Approval Date
1/14/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yolanda Tatum, Executive Director
(936) 569-8240
Contract Pharmacy Representative
Reliant
Clint Wood, Director 340B
(877) 354-2688
Signed By Date
1/14/2021
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