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RWI91103 City of Pasadena (Terminated)
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Main Details
Name
City of Pasadena
Subdivision Name
PUBLIC HEALTH DEPARTMENT
Type
Ryan White Part A
340B ID
RWI91103
Grant Number
LOS ANGELES EMA
Additional Details
Current Program Status
Terminated
Registration Date
3/14/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/14/2008
Last Recertification Date
1/26/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
City of Pasadena
Steve Mermell, Interim City Manager
(626) 744-6936
Primary Contact
City of Pasadena-Health
Angelica Palmeros, Division Manager
(626) 744-6158
Addresses
Street Address
1845 N. FAIR OAKS AVE
PASADENA, CA 91103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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