340B Drug Pricing Program Database

Pharmacy Name

ENCORE PHARMACY #1

Pharmacy Address

800 8TH AVE STE 130
FORT WORTH, TX 76104

Pharmacy Comments

Approval Date

7/8/2022

Contract Begin Date

8/8/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Manal El Harrak, Chief Executive Officer
(717) 960-4330

Contract Pharmacy Representative

Recept1 Founders Stores
Nicky Otts, Owner
(817) 913-7247

Signed By Date

7/8/2022