340B Drug Pricing Program Database
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CH09303N Adelante Healthcare, Inc. (Terminated)
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Main Details
Name
Adelante Healthcare, Inc.
Subdivision Name
Adelante Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024930
340B ID
CH09303N
Grant Number
H80CS00140
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/14/2019
Last Recertification Date
Termination Date
Termination Reason
7/1/2019
Other
Contacts
Authorizing Official
Adelante Healthcare
Eric Battis, COO
(623) 583-3001 Ext: 1222
Primary Contact
Adelante Healthcare
Amanda C Murray, 340B Program Manager
(623) 583-3001 Ext: 1312
Addresses
Street Address
3033 N Central Ave
Phoenix, AZ 85012-2809
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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