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NORTH TX INFUSION & SPECIALTY PHARMACY L
STD75219 Resource Center of Dallas
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Covered Entity Details
Entity Name
Resource Center of Dallas
Subdivision Name
Health Campus
Type
Sexually Transmitted Diseases
340B ID
STD75219
Entity Address
2701 Reagan Street
Dallas, TX 75219
Grant Number
NH25PS005182
Participating Start Date
4/1/2018
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
NORTH TX INFUSION & SPECIALTY PHARMACY L
Pharmacy Address
3409 WORTH STREET, SUITE 725
DALLAS, TX 75246
Pharmacy Comments
Contract Details
Approval Date
4/7/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marisa Elliott, Chief Operating Officer
(214) 540-4454
Contract Pharmacy Representative
North Texas Infusion & Specialty Pharmacy
Lauren Dunnet, Pharm D, AAHIVP
(214) 276-5628
Signed By Date
4/7/2023
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