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RWII29601 AID Upstate (Active)
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Main Details
Name
AID Upstate
Subdivision Name
Type
Ryan White Part B
340B ID
RWII29601
Grant Number
X07HA00038
Additional Details
Current Program Status
Active
Registration Date
9/17/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/23/2009
Last Recertification Date
3/3/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2028
Contacts
Authorizing Official
AID Upstate
Rajashree C. Rao, CEO
(864) 380-3951
Primary Contact
AID Upstate
Gregory Leon Campbell, Chief Operating Officer
(864) 250-0607 Ext: 6315
Addresses
Street Address
811 Pendleton St, Suite 10 & 11
Greenville, SC 29601
Billing Address
AID Upstate
PO BOX 105
Greenville, SC 29602-0105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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