340B Drug Pricing Program Database

Name

COLLINS FAMILY PLANNING CLINIC

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD76140

Grant Number

NH25PS005182

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
MEDICATION
1/1/2019

Current Program Status

Active

Registration Date

4/12/2018

Participating Start Date

7/1/2018

Participating Approval Date

5/2/2018

Last Recertification Date

5/6/2025

Notice of Funding Opportunity (NOFO) Number

PS19-1901 (or CDC-RFA-PS19-1901)

Authorizing Official

Collins Family Planning Clinic
Janice Brown, Executive Director
(817) 922-8182

Primary Contact

Collins Family Planning Clinic
Claudia Johnson, Financial Director
(817) 922-8182

Street Address

1100 BRIDGEWOOD DR STE 120
Fort Worth, TX 76112

Billing Address
Same as Street Address