340B Drug Pricing Program Database
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RWIID23 ARIZONA DEPARTMENT OF HEALTH SERVICES (Active)
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Main Details
Name
ARIZONA DEPARTMENT OF HEALTH SERVICES
Subdivision Name
Ryan White Part B/ADAP
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID23
Grant Number
X07HA00080
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/7/2005
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
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
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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2/23/06 OLD 340B ID # (WAS RW23); 6/7/05 UPDATED ADDR (WAS 3815 N BLACK CANYON HWY, PHOENIX, AZ); 2/4/12-ADDED 2ND SHIPPING ADDRESS.
02/04/2012
2/23/06 OLD 340B ID # (WAS RW23); 6/7/05 UPDATED ADDR (WAS 3815 N BLACK CANYON HWY, PHOENIX, AZ)
07/27/2010
May 2025
May 2025
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