340B Drug Pricing Program Database


CH04166AA Community Health Centers, Inc. (Active) - information as of 5/23/2025 12:08:07 AM

Main Details
Community Health Centers, Inc.
CHC Admin - Purchasing
HRSA-Funded Health Center
BPS-H80-028323
CH04166AA
H80CS00809


Additional Details
Active
9/9/2019
9/10/2019
9/10/2019
2/10/2025

Contacts

Community Health Centers, Inc.
Debra Sue Andree, President / Chief Executive Officer
(407) 905-8827 Ext: 1212

Community Health Centers, Inc.
Darren Marsh, 340B Compliance Administrator
(407) 905-8827 Ext: 1111

Addresses

603 S Main St Ste 150
Winter Garden, FL 34787-3925

Community Health Centers, Inc.
110 S Woodland St
Winter Garden, FL 34787


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03757 1401 DUTCH ELM DRIVE
ALTAMONTE SPRINGSFL3271404/15/202507/01/2025  04/15/2025
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH041660ActiveBPS-H80-002351Community Health Centers, Inc.COMMUNITY HEALTH CENTERS, INC.110 S Woodland St Winter GardenFL
CH04166AActiveBPS-H80-003302Community Health Centers, Inc.COMMUNITY HEALTH CENTER - APOPKA FAMILY & OB CARE225 E 7th St ApopkaFL
CH04166AAActiveBPS-H80-028323Community Health Centers, Inc.CHC Admin - Purchasing603 S Main St Ste 150 Winter GardenFL
CH04166ABActiveBPS-H80-030813Community Health Centers, Inc.Four Corners Health Center509 Cagan View Rd ClermontFL
CH04166ACToBeTerminatedBPS-H80-032670Community Health Centers, Inc.ELC at West Lakes600 S Dollins Ave OrlandoFL
CH04166ADActiveBPS-H80-036142COMMUNITY HEALTH CENTERS INCCommunity Health Centers - West Lakes710 S. Tampa Ave. OrlandoFL
CH04166CActiveBPS-H80-013775Community Health Centers, Inc.Community Health Centers-Winter Garden Family and Dental Care13275 W COLONIAL DR WINTER GARDENFL
CH04166DActiveBPS-H80-000653Community Health Centers, Inc.COMMUNITY HEALTH CENTER - GROVELAND FAMILY, PEDIATRIC & DENTAL CARE1296 W Broad St GrovelandFL
CH04166FActiveBPS-H80-001417Community Health Centers, Inc.COMMUNITY HEALTH CENTER - LEESBURG FAMILY MEDICAL AND DENTAL225 N 1st St LeesburgFL
CH04166HActiveBPS-H80-018524Community Health Centers, Inc.COMMUNITY HEALTH CENTER - PINE HILLS 840 MERCY DR ORLANDOFL
CH04166ITerminatedBPS-H80-002510COMMUNITY HEALTH CENTERS, INC.COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE434 Kennedy Blvd OrlandoFL
CH04166LActiveBPS-H80-000502Community Health Centers, Inc.COMMUNITY HEALTH CENTER - APOPKA PEDIATRIC CARE618 S Forest Ave ApopkaFL
CH04166MActiveBPS-H80-011182Community Health Centers, Inc.COMMUNITY HEALTH CENTER - BITHLO FAMILY CARE19108 E. Colonial Dr OrlandoFL
CH04166NActiveBPS-H80-011900Community Health Centers, Inc.COMMUNITY HEALTH CENTER - MEADOW WOODS PEDIATRIC & PEDIATRIC DENTAL CARE849 Greenway Professional Ct OrlandoFL
CH04166PActiveBPS-H80-014775Community Health Centers, Inc.Community Health Centers-Tavares Family Medical and Dental212 E. Main St. TavaresFL
CH04166RActiveBPS-H80-008691Community Health Centers, Inc.COMMUNITY HEALTH CENTER - APOPKA DENTAL CARE210 E. 7th St ApopkaFL
CH04166SActiveBPS-H80-008544Community Health Centers, Inc.COMMUNITY HEALTH CENTER - INFORMATION SERVICES CENTER184 S Dillard St Winter GardenFL
CH04166TActiveBPS-H80-003452Community Health Centers, Inc.COMMUNITY HEALTH CENTER - LAKE ELLENOR PEDIATRIC DENTAL & ADULT EMERGENCY DENTAL CARE6101 LAKE ELLENOR DR. STE 106 ORLANDOFL
CH04166UTerminatedBPS-H80-015083COMMUNITY HEALTH CENTERS, INC.Community Health Centers, Inc. Rosemont Pediatrics5844 N ORANGE BLOSSOM TRL ORLANDOFL
CH04166VTerminatedBPS-H80-015266COMMUNITY HEALTH CENTERS, INC.CHC Administrative Annex130 S. Main St. Winter GardenFL
CH04166WActiveBPS-H80-017623Community Health Centers, Inc.Community Health Center - Forest City Family & Dental Care7900 Forest City Road OrlandoFL
CH04166XActiveBPS-H80-018381Community Health Centers, Inc.COMMUNITY HEALTH CENTER -Call Center301 SW Crown Point Road WINTER GARDENFL
CH04166YActiveBPS-H80-017804Community Health Centers, Inc.Community Health Centers, Inc. Forest City - Optometry and Behavioral Health7912 Forest City Rd OrlandoFL
CH04166ZActiveBPS-H80-021740Community Health Centers, Inc.Community Health Centers Clermont2140 N Don Wickham Dr. Suite C ClermontFL
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH041660ADVANCED CARE SCRIPTS, INCCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 6251 CHANCELLOR DRIVE
SUITE 101 		ORLANDOFL3280910/01/2024  
CH041660CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/01/2024  
CH041660CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2025  
CH041660CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2024  
CH041660CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2024  
CH041660DIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268301/01/2019 07/01/2021
CH041660DIPLOMAT SPECIALTY PHARMACY OF FT LAUDERDIPLOMAT SPECIALTY PHARMACY 15471 SW 12TH ST
STE 207 		SUNRISEFL3332601/01/2019 07/01/2021
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03748 65 E MAIN ST
APOPKAFL3270310/01/2018  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03225 2311 E. SEMORAN BLVD.
APOPKAFL3270301/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00497 17021 US HWY 441
MOUNT DORAFL3275701/01/2019 11/22/2021
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03757 1401 DUTCH ELM DRIVE
ALTAMONTE SPRINGSFL3271401/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05853 13960 LANDSTAR BLVD.
ORLANDOFL3282401/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 07991 13300 E. COLONIAL DR.
ORLANDOFL3282601/01/2019 06/01/2024
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03150 221 S STATE RD 434
ALTAMONTE SPRINGSFL3271401/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02829 3502 EDGEWATER DR.
ORLANDOFL3280401/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00605 1235 N 14TH ST
LEESBURGFL3474801/01/2019 06/01/2024
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04465 550 W BURLEIGH BLVD
TAVARESFL3277801/01/2019  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 01820 13697 W. COLONIAL DR.
WINTER GARDENFL3478704/01/2022  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02904 6354 N. ORANGE BLOSSOM TRAIL
ORLANDOFL3281004/01/2022 06/01/2024
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04238 1612 E SILVER STAR RD
OCOEEFL3476104/01/2022  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05817 1800 E. HWY 50
CLERMONTFL3471104/01/2022  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02291 6217 SILVER STAR RD
ORLANDOFL3280804/01/2022  
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05218 7665 W COLONIAL DR
ORLANDOFL3281804/01/2022 10/10/2024
CH041660HOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05901 7001 OLD WINTER GARDEN RD.
ORLANDOFL3283504/01/2022  
CH04166ZHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04238 1612 E SILVER STAR RD
OCOEEFL3476107/01/2025  
CH04166NHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05817 1800 E. HWY 50
CLERMONTFL3471107/01/2025  
CH04166SHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03150 221 S STATE RD 434
ALTAMONTE SPRINGSFL3271407/01/2025  
CH04166YHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05901 7001 OLD WINTER GARDEN RD.
ORLANDOFL3283507/01/2025  
CH04166LHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03748 65 E MAIN ST
APOPKAFL3270307/01/2025  
CH04166AAHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 03757 1401 DUTCH ELM DRIVE
ALTAMONTE SPRINGSFL3271407/01/2025  
CH04166XHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04465 550 W BURLEIGH BLVD
TAVARESFL3277807/01/2025  
CH04166THOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 02291 6217 SILVER STAR RD
ORLANDOFL3280807/01/2025  
CH041660WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH041660WAL-MART PHARMACY #10-41601101 S. GOLDWYN
ORLANDOFL3280501/01/2018 03/01/2023
CH041660WAL-MART PHARMACY 10-070517030 U.S. HWY 441
MOUNT DORAFL3275701/01/2015  
CH041660WAL-MART PHARMACY 10-08002501 CITRUS BLVD
LEESBURGFL3474801/01/2015  
CH041660WAL-MART PHARMACY 10-08592000 STATE ROAD 60 EAST
LAKE WALESFL3389801/01/2018 05/31/2020
CH041660WAL-MART PHARMACY 10-094210500 W. COLONIAL DRIVE
OCOEEFL3476104/01/2014  
CH041660WAL-MART PHARMACY 10-09551700 S ORANGE BLOSOOM TRAIL
APOPKAFL3270304/01/2014  
CH04166RWAL-MART PHARMACY 10-09551700 S ORANGE BLOSOOM TRAIL
APOPKAFL3270307/01/2025  
CH041660WAL-MART PHARMACY 10-12202500 SO. KIRKMAN ROAD
ORLANDOFL3281101/01/2015  
CH041660WAL-MART PHARMACY 10-1374200 SOUTH STATE RD 434
ALTAMONTE SPRINGSFL3271401/01/2015  
CH041660WAL-MART PHARMACY 10-26951450 JOHNS LAKE ROAD
CLERMONTFL3471104/01/2014 01/01/2018
CH041660WAL-MART PHARMACY 10-3817433 SOUTH AVALON PARK BLVD
ORLANDO(AVALON PKWY)FL3282801/01/2018 05/31/2020
CH041660WAL-MART PHARMACY 10-42115559 CLARCONA-OCOEE ROAD
ORLANDOFL3281004/01/2014  
CH041660WAL-MART PHARMACY 10-44257818 W.COLONIAL DRIVE
ORLANDOFL3281801/01/2015 03/01/2023
CH041660WAL-MART PHARMACY 10-45883101 WEST PRINCETON STREET
ORLANDOFL3280801/01/2015  
CH041660WAL-MART PHARMACY 10-5299550 US HIGHWAY 27
CLERMONTFL3471101/01/2018 03/01/2023
CH041660WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH041660WALGREEN CODBA: WALGREENS #10556 5903 S ORANGE BLOSSOM TRAIL
ORLANDOFL3280910/19/2012 10/22/2018
CH041660WALGREEN CODBA: WALGREENS #11484 200 SOUTHERN BREEZE DR
MINNEOLAFL3471510/19/2012  
CH041660WALGREEN CODBA: WALGREENS #12105 680 E BURLEIGH BLVD
TAVARESFL3277810/01/2017  
CH041660WALGREEN CODBA: WALGREENS #10951 550 S. ORLANDO AVE
WINTER PARKFL32789-366407/01/2018  
CH041660WALGREEN CODBA: WALGREENS #11221 13989 LANDSTAR BLVD
ORLANDOFL3282410/01/2018  
CH041660WALGREEN CO.DBA: WALGREENS # 06723 890 N US HIGHWAY 27/441
LADY LAKEFL3215910/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 06922 113 MAITLAND AVE
ALTAMONTE SPRINGSFL32701-490110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03166 125 EAST MAIN STREET
APOPKAFL3270310/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 05246 1490 ROCK SPRINGS RD
APOPKAFL3271210/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 07944 1201 W STATE ROAD 436
ALTAMONTE SPRINGSFL32714-273610/19/2012 04/25/2019
CH041660WALGREEN CO.DBA: WALGREENS # 05779 101 W. ARDICE AVENUE
EUSTISFL3272610/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 04959 330 S ORLANDO AVE
MAITLANDFL3275110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 02928 18910 US HWY 441
MT DORAFL3275710/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 04648 11101 US HWY 441
TAVARESFL3277810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03650 2420 E COLONIAL DRIVE
ORLANDOFL3280310/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 05658 408 E MICHIGAN STREET
ORLANDOFL3280610/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS #21144 2300 S GOLDENROD RD
ORLANDOFL32822-790210/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03745 5185 NORTH LANE
ORLANDOFL3280810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 07686 2814 W KENNEDY BLVD
ORLANDOFL3281010/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 15332 4720 S KIRKMAN RD
ORLANDOFL3281110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 06505 920 S KIRKMAN ROAD
ORLANDOFL3281110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS #16514 4300 CURRY FORD RD
ORLANDOFL32806-270010/19/2012 03/01/2023
CH041660WALGREEN CO.DBA: WALGREENS # 03576 2550 N. HIAWASSEE RD.
ORLANDOFL3281810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 07165 5601 N HIAWASSEE ROAD
ORLANDOFL3281810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 07694 16900 E COLONIAL DR
ORLANDOFL32820-191110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 04526 8000 LAKE UNDERHILL ROAD
ORLANDOFL3282210/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 04554 12279 LAKE UNDERHILL RD
ORLANDOFL3282510/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03554 6651 OLD WINTER GARDEN RD.
ORLANDOFL3283510/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03811 4502 S ORANGE BLOSSOM TRAIL
ORLANDOFL32839-170410/19/2012 04/13/2023
CH041660WALGREEN CO.DBA: WALGREENS # 04906 5280 S JOHN YOUNG PKWY
ORLANDOFL3283910/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 16051 699 E HIGHWAY 50
CLERMONTFL3471110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS #12317 7777 STATE ROAD 50
GROVELANDFL3473610/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 06163 2010 CITRUS BLVD
LEESBURGFL3474810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 06887 27440 US HWY 27
LEESBURGFL3474810/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 06940 901 S 14TH STREET
LEESBURGFL34748-661510/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 04961 1669 E SILVER STAR RD
OCOEEFL3476110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS #12884 2353 OCOEE APOPKA RD.
OCOEEFL3476110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 11105 8802 WEST COLONIAL DRIVE
OCOEEFL3476110/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS # 03989 13720 W COLONIAL DR
WINTER GARDENFL3478710/19/2012  
CH041660WALGREEN CO.DBA: WALGREENS #11921 7301 STATE ROAD 535
WINDERMEREFL3478604/01/2014  
CH041660WALGREEN CO.DBA: WALGREENS # 05809 2005 N SR 19
EUSTISFL3272610/01/2017  
CH041660WALGREEN CO.DBA: WALGREENS # 13920 3301 EDGEWATER DRIVE
ORLANDOFL3280401/01/2018  
CH041660WALGREEN CO.DBA: WALGREENS # 09016 200 W STATE RD 436
ALTAMONTE SPRINGSFL32714-420207/01/2018  
CH041660WALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #12146 1200 KUHL AVE
ORLANDOFL3280607/01/2018  
CH041660WALGREEN CO.WALGREENS #16404 885 W STATE ROAD 436
ALTAMONTE SPRINGSFL3271404/01/2022  
CH041660Walgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282901/01/2023  
CH041660WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904910/19/2012 06/25/2015
CH041660WALGREENS MAIL SERVICE, INC.8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2013 06/25/2015
CH041660WALGREENS.COM, INC.WALGREENS #02445 8337 S PARK CIRCLE
ORLANDOFL3281904/01/2020 07/02/2020
CH041660WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH041660Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/9/2024 1:32:06 PM2/10/2025 5:09:39 PM2/10/2025 5:09 PM
DetailsLast Recertification DateUpdateRecertification2/16/2023 8:56:59 AM2/9/2024 1:32:06 PM2/9/2024 1:32 PM
ContactsPrimary ContactUpdateProfile Change RequestMarsh, Darren Director of Pharmacy Community Health Centers, Inc. 4079058827-1111Marsh, Darren 340B Compliance Administrator Community Health Centers, Inc. 4079058827-11112/23/2023 7:06 PM
DetailsLast Recertification DateUpdateRecertification2/15/2022 4:53:16 PM2/16/2023 8:56:59 AM2/16/2023 8:56 AM
DetailsLast Recertification DateUpdateRecertification2/8/2021 10:42:31 AM2/15/2022 4:53:16 PM2/15/2022 4:53 PM
DetailsLast Recertification DateUpdateRecertification2/7/2020 10:44:47 AM2/8/2021 10:42:31 AM2/8/2021 10:42 AM
ContactsPrimary ContactUpdateProfile Change RequestMARSH, DARREN DIRECTOR OF PHARMACY Community Health Centers, Inc. 4079058827-1111Marsh, Darren Director of Pharmacy Community Health Centers, Inc. 4079058827-11112/8/2020 7:36 AM
ContactsPrimary ContactUpdateProfile Change RequestMARSH, DARREN DIRECTOR OF PHARMACY Community Health Centers, Inc. 4076145304MARSH, DARREN DIRECTOR OF PHARMACY Community Health Centers, Inc. 4079058827-11112/8/2020 7:35 AM
AddressesBilling AddressInsertRecertification Community Health Centers, Inc. 110 S Woodland St Winter Garden, FL 347872/7/2020 10:44 AM
DetailsLast Recertification DateUpdateRecertification 2/7/2020 10:44:47 AM2/7/2020 10:44 AM
ContactsAuthorizing OfficialUpdateAO Change RequestBRENNAN, MARGARET PRESIDENT/CEO COMMUNITY HEALTH CENTERS, INC. 4079058827-1060Andree, Debra Sue President / Chief Executive Officer Community Health Centers, Inc. 4079058827-12122/3/2020 7:17 AM
DetailsStateUpdateOPA EditApprovedActive9/10/2019 7:36 AM
DatesStart DateUpdateOPA Edit10/1/2019 12:00:00 AM9/10/2019 12:00:00 AM9/10/2019 7:36 AM
ContactsSigned ByInsertNew Registration BRENNAN, MARGARET PRESIDENT/CEO COMMUNITY HEALTH CENTERS, INC. 4079058827-10609/10/2019 7:34 AM
Details340B IDUpdateNew Registration CH04166AA9/10/2019 7:34 AM
DatesParticipating Approval DateUpdateNew Registration 9/10/2019 7:34:54 AM9/10/2019 7:34 AM
DetailsStateUpdateNew RegistrationPendingApproved9/10/2019 7:34 AM
DatesSigned By DateUpdateNew Registration 9/9/2019 3:28:49 PM9/10/2019 7:34 AM
DatesStart DateUpdateNew Registration 10/1/2019 12:00:00 AM9/10/2019 7:34 AM
AddressesMain AddressInsertNew Registration  603 S Main St Ste 150 Winter Garden, FL 34787-39259/9/2019 2:40 PM
ContactsAuthorizing OfficialInsertNew Registration BRENNAN, MARGARET PRESIDENT/CEO COMMUNITY HEALTH CENTERS, INC. 4079058827-10609/9/2019 2:40 PM
ContactsPrimary ContactInsertNew Registration MARSH, DARREN DIRECTOR OF PHARMACY Community Health Centers, Inc. 40761453049/9/2019 2:40 PM
DetailsLast Recertification DateInsertNew Registration  9/9/2019 2:40 PM
DetailsGrant NumberInsertNew Registration H80CS008099/9/2019 2:40 PM
Details340B IDInsertNew Registration  9/9/2019 2:40 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  9/9/2019 2:40 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  9/9/2019 2:40 PM
DetailsMedicare Provider NumberInsertNew Registration  9/9/2019 2:40 PM
DetailsEntity NameInsertNew Registration Community Health Centers, Inc.9/9/2019 2:40 PM
DetailsProgram CodeInsertNew Registration CH9/9/2019 2:40 PM
DetailsEntity SubnameInsertNew Registration CHC Admin - Purchasing9/9/2019 2:40 PM
DatesParticipating Approval DateInsertNew Registration  9/9/2019 2:40 PM
DetailsStateInsertNew Registration Pending9/9/2019 2:40 PM
DatesRegistration DateInsertNew Registration 9/9/2019 2:40:58 PM9/9/2019 2:40 PM
DatesSigned By DateInsertNew Registration  9/9/2019 2:40 PM
DatesStart DateInsertNew Registration  9/9/2019 2:40 PM
TerminationsTermination CommentsInsertNew Registration  9/9/2019 2:40 PM
TerminationsTermination DateInsertNew Registration  9/9/2019 2:40 PM
TerminationsTermination Effective DateInsertNew Registration  9/9/2019 2:40 PM
TerminationsTermination ReasonInsertNew Registration  9/9/2019 2:40 PM