340B Drug Pricing Program Database
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CHC26512-04 PREFERRED FAMILY HEALTHCARE, INCORPORATED (Active)
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Main Details
Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Clarity Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020917
340B ID
CHC26512-04
Grant Number
H80CS26512
Additional Details
Current Program Status
Active
Registration Date
10/3/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/6/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Preferred Family Healthcare
amanda wosman, VP CHC
(573) 231-2384
Primary Contact
Adult and Child Health
Dhvani Derasari, 340B Program Manager
(682) 559-8205
Addresses
Street Address
4600 McMasters Avenue
Hannibal, MO 63401-2244
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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