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CH041294R NORTH BROWARD HOSPITAL DISTRICT (Active)
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Main Details
Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
Comprehensive Care Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037519
340B ID
CH041294R
Grant Number
H80CS00019
Additional Details
Current Program Status
Active
Registration Date
1/10/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/11/2024
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
North Broward Hospital District DBA Broward Health
Alisa Bert, Interim CFO/VP Financial Operations
(954) 847-7483
Primary Contact
North Broward Hospital District dba Broward Health
Dave A Lacknauth, Executive Director of Pharmacy Services
(954) 473-7078
Addresses
Street Address
1101 NW 1st Street STE 1A
Ft Lauderdale, FL 33311-8905
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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