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RELIANT HEALTHCARE
CHC28363-05 SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
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Covered Entity Details
Entity Name
SPECIAL HEALTH RESOURCES FOR TEXAS, INCORPORATED
Subdivision Name
402 N. 7th St
Type
HRSA-Funded Health Center
340B ID
CHC28363-05
Entity Address
402 N 7th St
Longview, TX 75601-6704
Grant Number
H80CS28363
Participating Start Date
10/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RELIANT HEALTHCARE
Pharmacy Address
RELIANT MEDICAL LLC
4315 TEXAS BLVD
TEXARKANA, TX 75503
Pharmacy Comments
Contract Details
Approval Date
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
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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