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RX MEDS INC
HV46653 Empowerment Resource Center
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Covered Entity Details
Entity Name
Empowerment Resource Center
Subdivision Name
Comprehensive Intervention Clinic
Type
Ryan White Part C
340B ID
HV46653
Entity Address
230 Peachtree Street NW
Suite 1800
Atlanta, GA 30303
Grant Number
H76HA46653
Participating Start Date
1/1/2023
Last Recertification Date
2/5/2024
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
RX MEDS INC
Pharmacy Address
465 BOULEVARD SE STE 111A
ATLANTA, GA 30312
Pharmacy Comments
Contract Details
Approval Date
7/9/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jacqueline Brown, Chief Executive Officer
(404) 526-1145
Contract Pharmacy Representative
Rx Meds
Xavier Bryant, CEO
(678) 705-5968
Signed By Date
7/9/2023
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