340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RWII37604 East Tennessee State University Center of Excellence (Active)
Print
Main Details
Name
East Tennessee State University Center of Excellence
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37604
Grant Number
X07HA00024
Additional Details
Current Program Status
Active
Registration Date
12/1/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/15/2011
Last Recertification Date
2/15/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
Contacts
Authorizing Official
East Tennessee State University Center of Excellence
Jonathan Moorman, Director ETSU Center of Excellence
(423) 979-6380
Primary Contact
East Tennessee State University Center of Excellence
Lisa Bynum, Executive Director
(423) 930-8337 Ext: 119
Addresses
Street Address
ETSU Center of Excellence
615 N. State of Franklin Rd
Johnson City, TN 37604
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session