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ASPCARES
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
ASPCARES
Pharmacy Address
AMERICAN SPECIALTY PHARMACY, INC
1109 E 5TH ST
TYLER, TX 75701-3318
Pharmacy Comments
Contract Details
Approval Date
10/20/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kim Nesvig, CEO
(903) 212-7811 Ext: 7811
Contract Pharmacy Representative
Rex Green, 340B Compliance Manager
(214) 919-2090 Ext: 321
Signed By Date
10/20/2016
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