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RWIID94 VIRGINIA DEPARTMENT OF HEALTH (Active)
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Main Details
Name
VIRGINIA DEPARTMENT OF HEALTH
Subdivision Name
DIVISION OF DISEASE PREVENTION - ADAP Direct Purchase
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID94
Grant Number
X07HA00009
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/9/2005
Last Recertification Date
3/5/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2027
Contacts
Authorizing Official
Virginia Department of Health
Laurie Forlano, Director Office of Epidemiology
(804) 864-7097
Primary Contact
Virginia Department of Health
Christine Michelle Fletcher, 340B Compliance Officer
(804) 314-6321
Addresses
Street Address
109 Governor Street
Richmond, VA 23219
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/20/08 CHANGED MED # (WAS 00508381); 8/8/06 ADDED SHIP TO; 6/9/06 UPDATED SUB-DIV NAME; 3/22/06 NEW 340B ID # (WAS RW94)
07/20/2010
May 2025
May 2025
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