340B Drug Pricing Program Database
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CH07720AA ADVOCATES FOR A HEALTHY COMMUNITY INC (Active)
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Main Details
Name
ADVOCATES FOR A HEALTHY COMMUNITY INC
Subdivision Name
Jordan Valley Community Health Center - Hollister
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013737
340B ID
CH07720AA
Grant Number
H80CS00275
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Advocates for a Healthy Community, Inc.
Ryan Kruger, VP PACE/Pharmacy
(417) 851-1551
Primary Contact
Advocates for a Healthy Community, Inc.
Clifford James Conquest, Manager, 340B Program
(417) 851-1551
Addresses
Street Address
33 Gage Dr
Hollister, MO 65672-9605
Billing Address
Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center
PO Box 5681
Springfield, MO 65801-5681
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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