340B Drug Pricing Program Database
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HV220311A Inova Juniper Program (Active)
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Main Details
Name
Inova Juniper Program
Subdivision Name
Leesburg
Type
Ryan White Part C
340B ID
HV220311A
Grant Number
H76HA00177
Additional Details
Current Program Status
Active
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/25/2016
Last Recertification Date
3/4/2025
Time Period the Assistance was Received
5/1/2018 - 4/30/2025
Contacts
Authorizing Official
Inova
Karen Berube, VP Population Health
(703) 698-2545
Primary Contact
Inova
Bryan Majors, Business Manager
(571) 217-5896
Addresses
Street Address
211 Gibson Street NW
Suite 206
Leesburg, VA 20176
Billing Address
Inova Juniper Program
2740 Prosperity Avenue
Suite 200
Fairfax, VA 22031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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