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KROGER PHARMACY #518
STD75246 AIDS ARMS, INC. d/b/a Prism Health North Texas
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Covered Entity Details
Entity Name
AIDS ARMS, INC. d/b/a Prism Health North Texas
Subdivision Name
Worth Street
Type
Sexually Transmitted Diseases
340B ID
STD75246
Entity Address
4004 Worth Street
Suite 100
Dallas, TX 75246
Grant Number
NH25PS005182
Participating Start Date
4/1/2021
Last Recertification Date
5/29/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #518
Pharmacy Address
5665 E MOCKINGBIRD
DALLAS, TX 75206
Pharmacy Comments
Contract Details
Approval Date
7/26/2021
Contract Begin Date
8/27/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John T. Carlo, CEO
(214) 521-5191
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/26/2021
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