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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
RWII68A SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INC.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII68A
Entity Address
1102 MAIN STREET
TEXARKANA, TX 75501
Grant Number
X07HA00054
Participating Start Date
7/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
Pharmacy Address
1004 N 19TH ST
MONROE, LA 71201-5734
Pharmacy Comments
11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);
Contract Details
Approval Date
7/21/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carlton Smith, CFO
(903) 212-7804 Ext: 7804
Contract Pharmacy Representative
Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326
Signed By Date
7/21/2016
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