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RWII29204 Palmetto AIDS Life Support Services, Inc. (Active)
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Main Details
Name
Palmetto AIDS Life Support Services, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII29204
Grant Number
X07HA00038
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
10/1/2016
Participating Approval Date
11/19/2015
Last Recertification Date
2/18/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2027
Contacts
Authorizing Official
PALSS, Inc.
Carmen H. Julious, CEO
(803) 779-7257
Primary Contact
PALSS, Inc.
Keisha Dyer, CFO
(803) 779-7257
Addresses
Street Address
2638 Two Notch Road
Suite 108
Columbia, SC 29204-1454
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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9/13/16 Participating 1/1/2016 until terminated effective 7/1/2016, reinstated effective 10/1/16
09/13/2016
April 2025
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