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HV333113G North Broward Hospital District, d/b/a Broward Health (Terminated)
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Main Details
Name
North Broward Hospital District, d/b/a Broward Health
Subdivision Name
Lauderdale Lakes Health Center
Type
Ryan White Part C
340B ID
HV333113G
Grant Number
H76HA00210
Additional Details
Current Program Status
Terminated
Registration Date
1/8/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/9/2015
Last Recertification Date
2/26/2019
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
North Broward Hospital District dba Broward Health
Beth A Cherry, Vice President
(954) 473-3076
Primary Contact
North Broward Hospital District d/b/a Broward Health
Bernice Shorter-Meares, Regional Pharmacy Manager
(954) 759-6651
Addresses
Street Address
3716 West Oakland Park Boulevard
Lauderdale Lakes, FL 33311
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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