Contract Pharmacy Details

RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
HV75604 SPECIAL HEALTH RESOURCES FOR TEXAS, INC.

Covered Entity Details

Entity Name

SPECIAL HEALTH RESOURCES FOR TEXAS, INC.

Subdivision Name

Jim Meyer Comprehensive Health Center

Type

Ryan White Part C

340B ID

HV75604

Entity Address

410 North Fourth Street
LONGVIEW, TX 75601-6511

Grant Number

H76HA01705

Participating Start Date

10/1/2004

Last Recertification Date

2/17/2025

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

10/5/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kim Nesvig, CEO
(903) 212-7811 Ext: 7811

Contract Pharmacy Representative

Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326

Signed By Date

10/5/2016

340B Drug Pricing Program Database