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RECEPT PHARMACY #15
RWI76104A Tarrant County Public Health
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Covered Entity Details
Entity Name
Tarrant County Public Health
Subdivision Name
Preventive Medical Clinic
Type
Ryan White Part A
340B ID
RWI76104A
Entity Address
2596 E. Arkansas Lane
Arlington, TX 76104
Grant Number
H89HA00047
Participating Start Date
10/1/2017
Last Recertification Date
2/14/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
RECEPT PHARMACY #15
Pharmacy Address
7148 TRAIL LAKE DRIVE, SUITE A
FORT WORTH, TX 76123
Pharmacy Comments
Contract Details
Approval Date
10/11/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ann Salyer-Caldwell, Deputy Director
(817) 321-5309
Contract Pharmacy Representative
ReceptRX
Clay Keene, Vice President, Client Services
(914) 705-9046
Signed By Date
10/11/2017
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