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HV02485 University of Arizona Board of Regents (Active)
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Main Details
Name
University of Arizona Board of Regents
Subdivision Name
Division of Infectious Disease - Petersen HIV Clinic
Type
Ryan White Part C
340B ID
HV02485
Grant Number
H76HA02485-19-02
Additional Details
Current Program Status
Active
Registration Date
10/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/8/2012
Last Recertification Date
2/17/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2025
Contacts
Authorizing Official
University of Arizona
Elisha Johnson, Director, Clinical Trials and Contracting
(520) 626-7822
Primary Contact
Petersen HIV Clinic
Connie Chan, Director of Clinical Operations and 340B
(520) 626-2575
Addresses
Street Address
655 N. Alvernon Way
Suite 210
Tucson, AZ 85711
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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11/7/12 - Reviewed registration and forwarded to IS for approval.
11/07/2012
May 2025
May 2025
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