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CH040230 DUVAL COUNTY HEALTH DEPARTMENT (Terminated)
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Main Details
Name
DUVAL COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002054
340B ID
CH040230
Grant Number
H80CS00851
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
4/1/2003
Last Recertification Date
3/3/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Florida Department of Health in Duval County
Kelli T. Wells, Director
(904) 253-1010
Primary Contact
Lemorris Prier, Director of Pharmacy - FDOH, Duval
(904) 253-2461
Addresses
Street Address
515 WEST 6TH STREET
JACKSONVILLE, FL 32206
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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