340B Drug Pricing Program Database
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RWII32114 Outreach Community Care Network (Active)
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Main Details
Name
Outreach Community Care Network
Subdivision Name
Type
Ryan White Part B
340B ID
RWII32114
Grant Number
XO7HA00057
Additional Details
Current Program Status
Active
Registration Date
1/10/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/5/2013
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
10/1/2018 - 10/31/2026
Contacts
Authorizing Official
Outreach Community Care Network
Latreace Flynt, Clinical Director
(386) 235-1911 Ext: 216
Primary Contact
Outreach Community Care Network
Chester Wilson, Executive Secretary
(386) 255-5569 Ext: 232
Addresses
Street Address
240 N Frederick Avenue
Daytona Beach, FL 32114
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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