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ASPCARES
RWII75219 Resource Center of Dallas
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Covered Entity Details
Entity Name
Resource Center of Dallas
Subdivision Name
Type
Ryan White Part B
340B ID
RWII75219
Entity Address
2701 Reagan Street
Dallas, TX 75219
Grant Number
X07HA00054
Participating Start Date
7/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
8785 W BELLFORT ST STE A
HOUSTON, TX 77031-2403
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/26/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marisa Elliott, Chief Operating Officer
(214) 540-4454
Contract Pharmacy Representative
American Specialty Pharmacy
Rex Green, Owner
(214) 919-2520
Signed By Date
4/13/2017
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