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RWII76905 Shannon Business Services (Active)
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Main Details
Name
Shannon Business Services
Subdivision Name
Shannon Supportive Health Services
Type
Ryan White Part B
340B ID
RWII76905
Grant Number
X07HA00054
Additional Details
Current Program Status
Active
Registration Date
7/12/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/27/2018
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
Contacts
Authorizing Official
Shannon Medical Center
Pam Bradshaw, COO/CNO
(325) 653-6741
Primary Contact
Shannon Business Services d/b/a Shannnon Supportive Health Services
Vicky L Howell, Program Coordinator
(325) 481-8905
Addresses
Street Address
402 W. 26th Street
San Angelo, TX 76903
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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