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ADVANT-EDGE PHARMACY INC
CH067960 PROJECT VIDA HEALTH CENTER
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Covered Entity Details
Entity Name
PROJECT VIDA HEALTH CENTER
Subdivision Name
PROJECT VIDA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH067960
Entity Address
3607 Rivera
EL PASO, TX 79905-2415
Grant Number
H80CS04287
Participating Start Date
10/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ADVANT-EDGE PHARMACY INC
Pharmacy Address
4109422
1576 LOMALAND DR.
EL PASO, TX 79935
Pharmacy Comments
Contract Details
Approval Date
4/22/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/25/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bill Schlesinger, CEO
(915) 533-7057 Ext: 207
Contract Pharmacy Representative
alex arias, President
(915) 595-0409
Signed By Date
4/22/2015
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