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HV00105A Wayne State University (Active)
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Main Details
Name
Wayne State University
Subdivision Name
Internal Medicine
Type
Ryan White Part C
340B ID
HV00105A
Grant Number
H76HA00105
Additional Details
Current Program Status
Active
Registration Date
10/13/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/25/2016
Last Recertification Date
2/14/2025
Time Period the Assistance was Received
1/1/2022 - 12/31/2025
Contacts
Authorizing Official
Wayne State University School of Medicine
Gretchen Snoeyenbos Newman, Project Director
(313) 577-3482
Primary Contact
Wayne State Department of Medicine
Cesar Bayoneto, Finance Manager
(313) 745-4955
Addresses
Street Address
656 West Kirby Street
Detroit, MI 48201-2119
Billing Address
Wayne State University
3901 Chrysler Dr.
Detroit, MI 48201-2167
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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