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ASPCARES
CHC24197-05 Health Services of North Texas, Inc.
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Covered Entity Details
Entity Name
Health Services of North Texas, Inc.
Subdivision Name
HSNT Wylie Children's Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24197-05
Entity Address
303 S Highway 78
Ste 106
Wylie, TX 75098
Grant Number
H80CS24197
Participating Start Date
1/1/2018
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
ASPCARES
Pharmacy Address
13988 DIPLOMAT DR STE 100B
FARMERS BRANCH, TX 75234-8807
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/9/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Doreen Rue, CEO
(940) 381-1501 Ext: 3001
Contract Pharmacy Representative
Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293
Signed By Date
1/15/2018
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