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RWIIR85007 ARIZONA DEPARTMENT OF HEALTH SERVICES (Active)
Main Details
Name
ARIZONA DEPARTMENT OF HEALTH SERVICES
Subdivision Name
Ryan White Part B
Type
Ryan White Part B ADAP Rebate Option
340B ID
RWIIR85007
Grant Number
X07HA00080
Contacts
Authorizing Official
Arizona Department of Health Services
Ricardo Fernandez, Office Chief, Office of HIV & Hepatitis C Services
(602) 527-7923
Primary Contact
Arizona Department of Health Services
Jimmy Borders, ADAP Manager
(602) 542-7344
Additional Details
Current Program Status
Active
Registration Date
6/15/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/16/2009
Last Recertification Date
1/29/2024
Time Period the Assistance was Received
4/1/2023 - 3/31/2024
Addresses
Street Address
150 N. 18th Ave
280
PHOENIX, AZ 85007-3233
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2024
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