340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH04023K AGAPE COMMUNITY HEALTH CENTER, INC. (Terminated)
Print
Main Details
Name
AGAPE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
AGAPE/Northwest Jacksonville Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017697
340B ID
CH04023K
Grant Number
H80CS29456
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/21/2016
Last Recertification Date
2/21/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Agape Community Health Center, Inc.
Mia Jones, CEO
(904) 703-0165
Primary Contact
Agape Community Health Center, Inc.
Monique Thompson, Director of Pharmacy
(904) 760-4918
Addresses
Street Address
3160 Edgewood Avenue W
Jacksonville, FL 32209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session