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RW400069 WASHINGTON UNIVERSITY IN ST. LOUIS (Active)
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Main Details
Name
WASHINGTON UNIVERSITY IN ST. LOUIS
Subdivision Name
The SPOT
Type
Ryan White Part D
340B ID
RW400069
Grant Number
H12HA24842
Additional Details
Current Program Status
Active
Registration Date
10/8/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/28/2019
Last Recertification Date
3/10/2025
Time Period the Assistance was Received
8/1/2022 - 7/31/2026
Contacts
Authorizing Official
Washington University
Kimberly Jean Donica, Project Director
(314) 535-7275 Ext: 202
Primary Contact
Washington University
Julie Kay Braun, Program Coordinator
(314) 368-9129
Addresses
Street Address
4169 LACLEDE AVENUE
ST. LOUIS, MO 63108-2812
Billing Address
WASHINGTON UNIVERSITY IN ST. LOUIS
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (04/01/2010), until terminated effective date: (01/01/2013), reinstatement effective date: (01/01/2020)
10/25/2019
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