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RWI28078 ROSEDALE HEALTH AND WELLNESS (Active)
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Main Details
Name
ROSEDALE HEALTH AND WELLNESS
Subdivision Name
Type
Ryan White Part A
340B ID
RWI28078
Grant Number
H89HA11434
Additional Details
Current Program Status
Active
Registration Date
4/1/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/3/2024
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
Dudley's Place
Dale Pierce, 340 B Manager
(704) 995-3214
Primary Contact
Rosedale Infectious Diseases, PLLC
Frederick Cruickshank, President
(704) 948-8582
Addresses
Street Address
103 COMMERCE CENTRE DRIVE
SUITE 103
HUNTERSVILLE, NC 28078
Billing Address
ROSEDALE HEALTH AND WELLNESS
PO BOX 2785
HUNTERSVILLE, NC 28070
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date: (0701/2010) until terminated effective sate: (04/01/2024); reinstatement effective date: (07/1/2024)
04/18/2024
May 2025
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