1 associated location — data as of October 5, 2026
Ryan White Part B · FORT WORTH, TX
PREVENTIVE MEDICINE CLINIC
Filed as TARRANT COUNTY PUBLIC HEALTH.
Taking partNoTermination date filedJuly 1, 2024Last certifiedFebruary 23, 2024
- 0Registered locations
- 1Associated locations
- 7Contract pharmacies
- 0With no end date
- July 1, 2004In 340B since
Finances, as filed
These figures come from the hospital Medicare cost report, form CMS-2552-10, which is not filed under this registration type.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- July 1, 2004
- Termination date
- July 1, 2024
- Termination reason
- Loss of qualifying grant/support
- Certification date
- February 23, 2024
- Record last edited
- July 1, 2024
Identifiers
- 340B ID
- RWII76104
- Entity type as filed
- RWII
- Grant number
- XO7HA00054
1101 SOUTH MAIN STREET, SUITE 1500C, FORT WORTH TX 76104
Associated locations
| PREVENTIVE MEDICINE CLINIC | 1101 SOUTH MAIN STREET, SUITE 1500C | FORT WORTH TX 76104 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed7
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ENCORE SPECIALTY PHARMACY | FORT WORTH, TX | May 9, 2022 | July 1, 2024 |
| RECEPT PHARMACY #1 | FORT WORTH, TX | January 1, 2015 | May 8, 2022 |
| RECEPT PHARMACY #5 | GRAPEVINE, TX | January 1, 2018 | July 1, 2024 |
| RECEPT PHARMACY #15 | FORT WORTH, TX | January 1, 2018 | July 1, 2024 |
| WALGREEN CO. | FORT WORTH, TX | January 1, 2018 | July 1, 2024 |
| WALGREEN CO. | FORT WORTH, TX | January 1, 2018 | July 1, 2024 |
| WALGREEN CO. | HURST, TX | January 1, 2018 | July 1, 2024 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_103256.xlsx, read October 5, 2026.
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