Covered Entity Details

CH04708A MOBILE COUNTY BOARD OF HEALTH (Active) - information as of 4/25/2025 9:22:54 PM

Main Details

Name

MOBILE COUNTY BOARD OF HEALTH

Subdivision Name

Citronelle Clinic

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000204

340B ID

CH04708A

Grant Number

H80CS00318

Additional Details

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

5/13/2004

Last Recertification Date

2/14/2025

Contacts

Authorizing Official

Mobile County Health Department
Kelly R Warren, Executive Director
(251) 690-8832

Primary Contact

Mobile County Health Department
Kevin P Michaels, Health Officer
(251) 690-8101

Addresses

Street Address

19250 N Mobile St
Citronelle, AL 36522-2122

Billing Address

Mobile County Board of Health
P.O. Box 2867
Mobile, AL 36652-2867

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
CORRECTED ENTITY NAME	05/13/2004

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH047080	Active	BPS-H80-000221	MOBILE COUNTY BOARD OF HEALTH	FAMILY ORIENTED PRIMARY HEALTH CARE CLIN	251 N Bayou St	Mobile	AL
CH04708A	Active	BPS-H80-000204	MOBILE COUNTY BOARD OF HEALTH	Citronelle Clinic	19250 N Mobile St	Citronelle	AL
CH04708B	Active	BPS-H80-000359	MOBILE COUNTY BOARD OF HEALTH	SEMMES CLINIC	3810 Wulff Rd E	Semmes	AL
CH04708D	Active	BPS-H80-016856	MOBILE COUNTY BOARD OF HEALTH	EIGHT MILE HEALTH CENTER	4009 Saint Stephens Rd	Eight Mile	AL
CH04708E	Active	BPS-H80-005490	MOBILE COUNTY BOARD OF HEALTH	Women's and Children's Health Center	248 Cox St	Mobile	AL
CH04708F	Active	BPS-H80-008618	MOBILE COUNTY BOARD OF HEALTH	North Mobile Health Center	950 Coy Smith Highway	Mount Vernon	AL
CH04708G	Active	BPS-H80-012261	MOBILE COUNTY BOARD OF HEALTH	Southwest Mobile Health Center	5580 Inn Rd	Mobile	AL
CH04708H	Terminated	BPS-H80-003956	MOBILE COUNTY BOARD OF HEALTH	USA Children's and Women's Hospital CEC	1700 Center St	Mobile	AL
CH04708J	Active	BPS-H80-010503	MOBILE COUNTY BOARD OF HEALTH	North Mobile Health Center	950 Coy Smith Highway	Mount Vernon	AL
CH04708K	Terminated	BPS-H80-006748	MOBILE COUNTY BOARD OF HEALTH	MOBILE MEDICAL VAN	251 N Bayou St	Mobile	AL
CH04708L	Active	BPS-H80-010287	MOBILE COUNTY BOARD OF HEALTH	North Baldwin Rural Health Center	312 Courthouse Sq	Bay Minette	AL
CH04708M	Active	BPS-H80-013292	MOBILE COUNTY BOARD OF HEALTH	Dauphin Island Parkway Health Center	2601 Dauphin Island Pkwy	Mobile	AL
CH04708N	Active	BPS-H80-017799	Mobile County Board Of Health	Citronelle Dental	19260 N Mobile St	Citronelle	AL
CH04708P	Active	BPS-H80-034312	Mobile County Board of Health	Mobile Medical Unit II	251 N Bayou St	Mobile	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH047080	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	08/20/2020	02/20/2022
CH047080	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	08/20/2020	02/20/2022
CH047080	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	08/20/2020	02/20/2022
CH047080	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2020	07/15/2020
CH047080	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	08/20/2020	02/20/2022
CH047080	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	08/20/2020	02/20/2022
CH047080	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	08/20/2020	02/20/2022
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04818	4881 SCHILLINGER RD. S	MOBILE	AL	36619	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04903	3100 DAUPHIN ISLAND PKWY	MOBILE	AL	36605	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06017	12900 N. WINTZELL AVE.	BAYOU LA BATRE	AL	36509	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10575	24 SARALAND BLVD., N,	SARALAND	AL	36571	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04877	2280 DR. MARTIN LUTHER KING JR AVE	MOBILE	AL	36610	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04883	9151 MOFFETT RD	SEMMES	AL	36575	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04900	2550 DAUPHIN ST.	MOBILE	AL	36606	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07668	19215 NORTH 3RD ST.	CITRONELLE	AL	36522	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07671	1401 HILLCREST RD	MOBILE	AL	36695-4032	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #11016	4645 AIRPORT BLVD	MOBILE	AL	36608	04/01/2024
CH047080	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01822	21975 HWY 59	ROBERTSDALE	AL	36567	01/01/2025
CH047080	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2018	01/11/2024
CH047080	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2018	01/11/2024
CH047080	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2018	01/11/2024
CH047080	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2018	01/11/2024
CH047080	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2018	01/11/2024
CH047080	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2018	01/11/2024
CH047080	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2018	01/11/2024
CH047080	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2018	01/11/2024
CH047080	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2018	01/11/2024
CH047080	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2024
CH047080	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2024
CH047080	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2025
CH047080	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2020	07/15/2020
CH047080	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	08/20/2020	02/20/2022
CH047080	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2020	07/15/2020
CH047080	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	08/20/2020	02/20/2022
CH047080	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2020	07/15/2020
CH047080	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2020	07/15/2020
CH047080	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	08/20/2020	02/20/2022
CH047080	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	08/20/2020	02/20/2022
CH047080	HEALTH CLINIC PHARMACY LLC	251 N BAYOU ST		MOBILE	AL	36603-5827	09/20/2012
CH047080	PREMIER PHARMACY SERVICES	410 CLOVERLEAF DR		BALDWIN PARK	CA	91706	07/01/2018	02/20/2022
CH047080	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2018	01/11/2024
CH047080	SEMMES PHARMACY, LLC DBA SEMMES PHARMACY	8985 MOFFETT RD		SEMMES	AL	36575	04/01/2018	04/05/2023
CH047080	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2020	05/28/2021
CH047080	WAL-MART PHARMACY 10-0853	685 SCHILLINGER ROAD		MOBILE (WEST)	AL	36695	10/01/2020	05/28/2021
CH047080	WAL-MART PHARMACY 10-0866	5245 RANGELINE SERVICE RD S		MOBILE	AL	36619-9541	10/01/2020	05/28/2021
CH047080	WAL-MART PHARMACY 10-0991	101 SOUTH BELTLINE HIGHWAY		MOBILE	AL	36606	04/01/2018	05/28/2021
CH047080	WAL-MART PHARMACY 10-1212	1095 INDUSTRIAL PKWY		SARALAND	AL	36571	10/01/2020	05/28/2021
CH047080	WAL-MART PHARMACY 10-5174	7855 MOFFETT RD		SEMMES	AL	36575	10/01/2020	05/28/2021
CH047080	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2020	05/28/2021
CH047080	WALGREEN CO.	DBA: WALGREENS # 07609	2050 GOVERNMENT STREET	MOBILE	AL	36606-1622	04/01/2022
CH047080	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	04/01/2022
CH047080	WALGREEN CO.	DBA: WALGREENS #15480	1731 SPRING HILL AVE	MOBILE	AL	36604	10/01/2022
CH047080	WALGREEN CO.	DBA: WALGREENS # 01777	3948 AIRPORT BLVD	MOBILE	AL	36608-1624	01/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS # 06085	5530 THREE NOTCH RD	MOBILE	AL	36619	01/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS # 07962	12 SHELTON BEACH RD	SARALAND	AL	36571-2403	01/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS #12333	4544 SAINT STEPHENS RD	PRICHARD	AL	36613	01/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS #13159	9179 MOFFETT RD.	SEMMES	AL	36575	01/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS # 06507	1320 GOVERNMENT ST	MOBILE	AL	36604	04/01/2023
CH047080	WALGREEN CO.	WALGREENS #17197	2912 DAUPHIN ISLAND PKWY STE L	MOBILE	AL	36605	04/01/2023
CH047080	WALGREEN CO.	WALGREENS #17323	402 N CRAFT HWY	CHICKASAW	AL	36611-1312	04/01/2023
CH047080	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21266	6395 AIRPORT BLVD STE A	MOBILE	AL	36608	04/01/2023
CH047080	WALGREEN CO.	DBA: WALGREENS # 06639	370 SCHILLINGER ROAD SOUTH	MOBILE	AL	36695	04/01/2024
CH047080	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	07/01/2022
CH047080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2025
CH047080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2025
CH047080	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2025
CH047080	WALMART PHARMACY #10-4210	1300 NORTH UNIVERSITY		MOBILE	AL	36618	10/01/2020	05/28/2021
CH047080	WALMART PHARMACY 10-5740	2570 GOVERNMENT BLVD		MOBILE	AL	36606	10/01/2020	05/28/2021
CH047080	WINN DIXIE PHARMACY #1333	1550 GOVERNMENT STREET		MOBILE	AL	36604	07/01/2018	09/14/2023
CH047080	WINN DIXIE PHARMACY #473	9082 MOFFETT RD		SEMMES	AL	36575-5242	07/01/2018	09/13/2023
CH047080	WINN-DIXIE PHARMACY	DBA WINN-DIXIE PHARMACY #549	740 N. SCHILLINGER ROAD	MOBILE	AL	36608	07/01/2018	09/25/2023
CH047080	WINN-DIXIE PHARMACY #572	5440 US HWY 90 WEST		MOBILE	AL	36619	04/01/2018	09/14/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/6/2024 1:16:40 PM	2/14/2025 2:57:38 PM	2/14/2025 2:57 PM
Details	Last Recertification Date	Update	Recertification	1/30/2023 11:15:42 AM	2/6/2024 1:16:40 PM	2/6/2024 1:16 PM
Details	Last Recertification Date	Update	Recertification	2/2/2022 1:20:34 PM	1/30/2023 11:15:42 AM	1/30/2023 11:15 AM
Contacts	Primary Contact	Update	Group Change Request	Eichold II, Bernard H. Area Health Officer Mobile County Health Department 2516908101	Michaels, Kevin P Health Officer Mobile County Health Department 2516908101	10/3/2022 1:10 PM
Details	Last Recertification Date	Update	Recertification	2/5/2021 1:57:54 PM	2/2/2022 1:20:34 PM	2/2/2022 1:20 PM
Details	Last Recertification Date	Update	Recertification	2/4/2020 10:14:58 AM	2/5/2021 1:57:54 PM	2/5/2021 1:57 PM
Addresses	Billing Address	Insert	Change Request		Mobile County Board of Health P.O. Box 2867 Mobile, AL 36652-2867	5/4/2020 12:44 PM
Details	Last Recertification Date	Update	Recertification	2/4/2019 12:30:38 PM	2/4/2020 10:14:58 AM	2/4/2020 10:14 AM
Details	Entity Name	Update	Recertification	MOBILE, COUNTY OF	MOBILE COUNTY BOARD OF HEALTH	2/4/2020 10:14 AM
Contacts	Authorizing Official	Update	Profile Change Request	Warren, Kelly R Interim Executive Director Mobile County Health Department 2516908832	Warren, Kelly R Executive Director Mobile County Health Department 2516908832	2/4/2020 10:11 AM
Contacts	Authorizing Official	Update	AO Change Request	Lewis, Angelia CEO Mobile, County of Family Oriented Health Care Clinic 2516908832	Warren, Kelly R Interim Executive Director Mobile County Health Department 2516908832	7/25/2019 6:57 AM
Details	Last Recertification Date	Update	Recertification	2/28/2018 6:49:51 PM	2/4/2019 12:30:38 PM	2/4/2019 12:30 PM
Contacts	Primary Contact	Update	Recertification	Lewis, Angelia CEO Mobile, County of Family Oriented Health Care Clinic 2516908832	Eichold II, Bernard H. Area Health Officer Mobile County Health Department 2516908101	2/28/2018 6:49 PM
Details	Last Recertification Date	Update	Recertification	2/13/2017 12:00:00 AM	2/28/2018 6:49:51 PM	2/28/2018 6:49 PM
Contacts	Authorizing Official	Update		Lewis, Angelia CEO 2516908832	Lewis, Angelia CEO Mobile, County of Family Oriented Health Care Clinic 2516908832	1/15/2018 3:21 PM
Contacts	Primary Contact	Update		Lewis, Angelia CEO 2516908832	Lewis, Angelia CEO Mobile, County of Family Oriented Health Care Clinic 2516908832	1/15/2018 3:21 PM
Contacts	Authorizing Official	Insert			Lewis, Angelia CEO 2516908832	2/13/2017 11:46 AM
Contacts	Primary Contact	Insert			Lewis, Angelia CEO 2516908832	2/13/2017 11:46 AM
Addresses	Main Address	Insert			19250 N Mobile St Citronelle, AL 36522-2122	2/13/2017 11:44 AM
Details	Last Recertification Date	Update		2/16/2016 12:00:00 AM	2/13/2017 12:00:00 AM	2/13/2017 11:44 AM
Details	Last Recertification Date	Update		2/11/2015 12:00:00 AM	2/16/2016 12:00:00 AM	2/16/2016 3:02 PM
Details	Last Recertification Date	Update		2/18/2014 12:00:00 AM	2/11/2015 12:00:00 AM	2/11/2015 10:01 AM
Details	Entity Name	Update		FAMILY ORIENTED PRIMARY HEALTH CARE CLINIC	MOBILE, COUNTY OF	3/31/2014 4:25 PM
Details	Entity Subname	Update		CITRONELLE CLINIC	Citronelle Clinic	3/31/2014 4:25 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	2/18/2014 12:00:00 AM	2/18/2014 9:21 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	2/7/2013 10:44 AM
Details	Last Recertification Date	Insert				5/13/2004 2:04 PM
Details	Grant Number	Insert			H80CS00318	5/13/2004 2:04 PM
Details	340B ID	Insert			CH04708A	5/13/2004 2:04 PM
Details	Is Authorizing Official EHB Data	Insert				5/13/2004 2:04 PM
Dates	Last Date That 340B Drugs Purchased	Insert				5/13/2004 2:04 PM
Details	Medicare Provider Number	Insert				5/13/2004 2:04 PM
Details	Entity Name	Insert			FAMILY ORIENTED PRIMARY HEALTH CARE CLINIC	5/13/2004 2:04 PM
Details	Program Code	Insert			CH	5/13/2004 2:04 PM
Details	Entity Subname	Insert			CITRONELLE CLINIC	5/13/2004 2:04 PM
Dates	Participating Approval Date	Insert			5/13/2004 2:04:48 PM	5/13/2004 2:04 PM
Details	State	Insert			Active	5/13/2004 2:04 PM
Dates	Registration Date	Insert			12/1/1992 12:00:00 AM	5/13/2004 2:04 PM
Dates	Signed By Date	Insert				5/13/2004 2:04 PM
Dates	Start Date	Insert			12/1/1992 12:00:00 AM	5/13/2004 2:04 PM
Terminations	Termination Comments	Insert				5/13/2004 2:04 PM
Terminations	Termination Date	Insert				5/13/2004 2:04 PM
Terminations	Termination Effective Date	Insert				5/13/2004 2:04 PM
Terminations	Termination Reason	Insert				5/13/2004 2:04 PM
Details	Comments Public	Insert			CORRECTED ENTITY NAME	5/13/2004 2:04 PM

340B Drug Pricing Program Database