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RWII27101 AIDS Care Service (Terminated)
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Main Details
Name
AIDS Care Service
Subdivision Name
Type
Ryan White Part B
340B ID
RWII27101
Grant Number
X07HA00051
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/22/2015
Last Recertification Date
2/23/2017
Time Period the Assistance was Received
Termination Date
Termination Reason
4/1/2017
Failure to recertify
Contacts
Authorizing Official
Joan Sherrill, Business Manager
(336) 721-2128
Primary Contact
Joan Sherrill, Business Manager
(336) 721-2128
Addresses
Street Address
995 West Northwest Blvd
Winston-Salem, NC 27101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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