Contract Pharmacy Details

RENUE RX #1
RWI76201 Health Services of North Texas, Inc.

Covered Entity Details

Entity Name

Health Services of North Texas, Inc.

Subdivision Name

HSNT Administrative Office

Type

Ryan White Part A

340B ID

RWI76201

Entity Address

4401 N INTERSTATE 35
Unit 312
DENTON, TX 76207

Grant Number

H89HA00014

Participating Start Date

1/1/2003

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

RENUE RX #1

Pharmacy Address

RENUE RX #2- TELP (REMOTE SITE)
5501 INDEPENDENCE PKWY STE 110-B
PLANO, TX 75023-5463

Pharmacy Comments

Contract Details

Approval Date

10/13/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/17/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Doreen Rue, CEO
(940) 381-1501 Ext: 3001

Contract Pharmacy Representative

Renue RX #1
Raj M Chhadua, Managing Partner/CEO
(214) 422-2598

Signed By Date

10/13/2021

340B Drug Pricing Program Database