340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH04034J RURAL HEALTH CARE, INCORPORATED (Terminated)
Print
Main Details
Name
RURAL HEALTH CARE, INCORPORATED
Subdivision Name
AZA HEALTH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004481
340B ID
CH04034J
Grant Number
H80CS00081
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2007
Participating Start Date
1/1/2008
Participating Approval Date
10/19/2007
Last Recertification Date
2/1/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Rural Health Care, Inc. d/b/a Aza Health
Laura M. Spencer, CEO
(386) 328-0108 Ext: 3340
Primary Contact
Rural Health Care, Inc
LARRY W. PEDERSON, Chief Pharmacy Officer
(386) 328-0558
Addresses
Street Address
405 ELM STREET
WELAKA, FL 32193
Billing Address
RURAL HEALTH CARE, INC. DBA/ AZA HEALTH
PO DRAWER 817
PALATKA, FL 32178-0817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session