No
Contract Detail | CURANT HEALTH FLORIDA, LLC | 11001 ROOSEVELT BLVD N STE 1400 |
| ST PETERSBURG | FL | 33716 | 04/15/2024 | 07/01/2024 | | | 07/01/2024 |
Contract Detail | CURANT HEALTH GEORGIA LLC | CURANT HEALTH |
200 TECHNOLOGY CT SE BLDG 200
SUITE B
| SMYRNA | GA | 30082-5250 | 04/15/2024 | 07/01/2024 | | | 07/01/2024 |
Contract Detail | WALGREEN ARIZONA DRUG CO. | DBA: WALGREENS # 04045 |
4685 E GRANT RD
| TUCSON | AZ | 85712 | 03/07/2024 | 04/01/2024 | | | 04/01/2024 |
Contract Detail | WALGREEN ARIZONA DRUG CO. | WALGREENS SPECIALTY PHARMACY #16500 |
1830 E. BROADWAY BLVD.
SUITE 136
| TUCSON | AZ | 85719 | 03/07/2024 | 04/01/2024 | | | 04/01/2024 |
Contract Detail | WALGREEN ARIZONA DRUG CO. | WALGREENS CENTRAL FILL #21372 |
120 N 83RD AVE
STE 200
| TOLLESON | AZ | 85353 | 03/07/2024 | 04/01/2024 | | | 04/01/2024 |
Details | Nature of Support: Support Received From Date | Update | Recertification | 11/7/2023 12:00:00 AM | 8/1/2024 12:00:00 AM | 5/14/2025 3:16 PM |
Details | Nature of Support: Support Received To Date | Update | Recertification | 11/7/2028 12:00:00 AM | 5/31/2025 12:00:00 AM | 5/14/2025 3:16 PM |
Details | Last Recertification Date | Update | Recertification | 5/7/2024 6:03:11 PM | 5/14/2025 3:16:47 PM | 5/14/2025 3:16 PM |
Details | Grant Number | Update | Recertification | NU62PS924550 | NU62PS924818 | 5/14/2025 3:16 PM |
Details | NOFO Number | Update | Recertification | CDC PS 18-1802 | PS24-0047 | 5/14/2025 3:16 PM |
Details | Last Recertification Date | Update | Recertification | | 5/7/2024 6:03:11 PM | 5/7/2024 6:03 PM |
Addresses | Main Address | Update | Change Request |
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85716 |
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85711 | 4/24/2024 7:39 AM |
Details | State | Update | | Approved | Active | 4/1/2024 12:01 AM |
Addresses | Main Address | Insert | New Registration | |
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85716 | 3/7/2024 12:56 PM |
Contacts | Signed By | Insert | New Registration | | Johnson, Elisha
Director, Clinical Trials and Contracting
University of Arizona
5206267822 | 3/7/2024 12:56 PM |
Details | 340B ID | Update | New Registration | | STD85716 | 3/7/2024 12:56 PM |
Dates | Participating Approval Date | Update | New Registration | | 3/7/2024 12:56:54 PM | 3/7/2024 12:56 PM |
Details | State | Update | New Registration | Pending | Approved | 3/7/2024 12:56 PM |
Dates | Signed By Date | Update | New Registration | | 1/29/2024 6:54:15 PM | 3/7/2024 12:56 PM |
Dates | Start Date | Update | New Registration | | 4/1/2024 12:00:00 AM | 3/7/2024 12:56 PM |
Addresses | Main Address | Insert | New Registration | |
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85716 | 1/29/2024 6:54 PM |
Details | Grant Number | Update | New Registration | CDC PS 18-1802 | NU62PS924550 | 1/29/2024 6:54 PM |
Details | NOFO Number | Update | New Registration | NU62PS924550 | CDC PS 18-1802 | 1/29/2024 6:54 PM |
Addresses | Main Address | Insert | New Registration | |
655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85716 | 1/12/2024 5:44 PM |
Details | Nature of Support: In Kind Support Description | Insert | New Registration | | technical assistance for PrEP/PEP and use of state resources including MEDSIS database, other PrEP/PEP data reporting systems, and PEP educational materials developed by the state. | 1/12/2024 5:44 PM |
Details | Nature Of Support | Insert | New Registration | | In-Kind products or services (see note below; must have been purchased with section 318 funds) | 1/12/2024 5:44 PM |
Details | Nature of Support: Support Received From Date | Insert | New Registration | | 11/7/2023 12:00:00 AM | 1/12/2024 5:44 PM |
Details | Nature of Support: Support Received To Date | Insert | New Registration | | 11/7/2028 12:00:00 AM | 1/12/2024 5:44 PM |
Contacts | Authorizing Official | Insert | New Registration | | Johnson, Elisha
Director, Clinical Trials and Contracting
University of Arizona
5206267822 | 1/12/2024 5:44 PM |
Contacts | Primary Contact | Insert | New Registration | | Chan, Connie
Director of Clinical Operations and 340B
Petersen HIV Clinic
5206262575 | 1/12/2024 5:44 PM |
Details | Assistance Received From Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Assistance Received To Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Last Recertification Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Grant Number | Insert | New Registration | | CDC PS 18-1802 | 1/12/2024 5:44 PM |
Details | 340B ID | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 1/12/2024 5:44 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Medicare Provider Number | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | Entity Name | Insert | New Registration | | The Arizona Board of Regents | 1/12/2024 5:44 PM |
Details | NOFO Number | Insert | New Registration | | NU62PS924550 | 1/12/2024 5:44 PM |
Details | Program Code | Insert | New Registration | | STD | 1/12/2024 5:44 PM |
Details | Entity Subname | Insert | New Registration | | University of Arizona PrEP/PEP Program | 1/12/2024 5:44 PM |
Dates | Participating Approval Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Details | State | Insert | New Registration | | Pending | 1/12/2024 5:44 PM |
Dates | Registration Date | Insert | New Registration | | 1/12/2024 5:44:40 PM | 1/12/2024 5:44 PM |
Dates | Signed By Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Dates | Start Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Terminations | Termination Comments | Insert | New Registration | | | 1/12/2024 5:44 PM |
Terminations | Termination Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Terminations | Termination Effective Date | Insert | New Registration | | | 1/12/2024 5:44 PM |
Terminations | Termination Reason | Insert | New Registration | | | 1/12/2024 5:44 PM |