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RWI85034 Chicanos Por La Causa Inc (Active)
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Main Details
Name
Chicanos Por La Causa Inc
Subdivision Name
LUCES
Type
Ryan White Part A
340B ID
RWI85034
Grant Number
H89HA11478-17-00
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/6/2018
Last Recertification Date
2/25/2025
Time Period the Assistance was Received
3/1/2025 - 2/29/2028
Contacts
Authorizing Official
Chicanos Por La Causa
Andres Contreras, Executive Vice President
(602) 282-8501
Primary Contact
Chicanos Por La Causa
Kelly Harshberger, VP, IHHS
(520) 990-3587
Addresses
Street Address
1112 E. Buckeye Rd
Phoenix, AZ 85034
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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June 2025
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