Covered Entity Details

RWI333163 NORTH BROWARD HOSPITAL DISTRICT (Active)

Main Details

Name

NORTH BROWARD HOSPITAL DISTRICT

Subdivision Name

Annie L. Weaver Health Center

Type

Ryan White Part A

340B ID

RWI333163

Grant Number

H89HA00002

Additional Details

Current Program Status

Active

Registration Date

12/1/1992

Participating Start Date

12/1/1992

Participating Approval Date

6/10/2005

Last Recertification Date

2/28/2025

Time Period the Assistance was Received

3/1/2022 - 2/28/2026

Contacts

Authorizing Official

North Broward Hospital District DBA Broward Health
Alisa Bert, Interim CFO/VP Financial Operations
(954) 847-7483

Primary Contact

North Broward Hospital District dba Broward Health
Dave A Lacknauth, Executive Director of Pharmacy Services
(954) 473-7078

Addresses

Street Address

2011 N.W. 3RD AVENUE
POMPANO BEACH, FL 33060

Billing Address
Same as Street Address

Comment	Last Updated On
1 Item 1 to 6 of 6 Page: of 1 Page size:

1 Item 1 to 6 of 6 Page: of 1 Page size:
9/29/11 added NPI; 5/18/07 ADDED SUB-DIV NAME; 5/2006 MODIF 340B_ID (WAS RW333163)	09/30/2011
9/29/11 added npi 9/29/11 added NPI 9/29/11 added NPI 9/29/11 added NPI 5/2006 MODIF 340B_ID (WAS RW333163), 5/18/07 ADDED SUB-DIV NAME	09/30/2011
9/29/11 added NPI 9/29/11 added NPI 9/29/11 added NPI 5/2006 MODIF 340B_ID (WAS RW333163), 5/18/07 ADDED SUB-DIV NAME	09/29/2011
9/29/11 added NPI 9/29/11 added NPI 5/2006 MODIF 340B_ID (WAS RW333163), 5/18/07 ADDED SUB-DIV NAME	09/29/2011
9/29/11 added NPI 5/2006 MODIF 340B_ID (WAS RW333163), 5/18/07 ADDED SUB-DIV NAME	09/29/2011
5/2006 MODIF 340B_ID (WAS RW333163), 5/18/07 ADDED SUB-DIV NAME	07/28/2010

340B Drug Pricing Program Database