340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RWI85004 Southwest Center for HIV/AIDS (Terminated)
Print
Main Details
Name
Southwest Center for HIV/AIDS
Subdivision Name
Type
Ryan White Part A
340B ID
RWI85004
Grant Number
H89HA11478
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/20/2018
Last Recertification Date
1/31/2022
Time Period the Assistance was Received
3/2/2020 - 3/8/2021
Termination Date
Termination Reason
4/1/2023
Never implemented the 340B Program
Contacts
Authorizing Official
Southwest Center for HIV/AIDS
Jessyca Leach, Executive Director
(602) 595-8115
Primary Contact
Prisma Community Care
Manny Guilin, Senior Manager, 340B Program & EHR Administrator
(602) 595-8119
Addresses
Street Address
1101 N Central Ave
Suite 200
Phoenix, AZ 85004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session