340B Drug Pricing Program Database

Name

CHARLES DREW HEALTH CENTER INC

Subdivision Name

Charles Drew Health Center, Inc. at St. Richards

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017221

340B ID

CH072110N

Grant Number

H80CS00438

Current Program Status

Terminated

Registration Date

4/12/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/13/2016

Last Recertification Date

2/4/2020

Termination Date
Termination Reason

4/1/2021
Site closure

Authorizing Official

Charles Drew Health Center, Inc.
Kenny D. McMorris, Chief Executive Officer
(402) 457-1245

Primary Contact

Charles Drew Health Center, Inc.
Wayne L Tate, Sr. Director of Pharmacy Services
(402) 810-9806

Street Address

4320 Fort Street
Omaha, NE 68111-1849

Billing Address

Charles Drew Health Center, Inc.
2915 Grant St.
Omaha, NE 68111