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RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
CHC28363-01 SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Subdivision Name
Texarkana Care Clinic (6th St)
Type
HRSA-Funded Health Center
340B ID
CHC28363-01
Entity Address
300 East 6th St.
Texarkana, AR 71854-5207
Grant Number
H80CS28363
Participating Start Date
7/1/2016
Last Recertification Date
2/7/2024
Entity Termination Date
4/1/2025
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
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kim Nesvig, CEO
(903) 212-7811 Ext: 7811
Contract Pharmacy Representative
Reliant Healthcare
BRAD SMITH, CEO
(318) 322-8326
Signed By Date
10/5/2016
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