340B Drug Pricing Program Database

Name

CHARLES DREW UNIVERSITY

Subdivision Name

OASIS CLINIC

Type

Ryan White Part C

340B ID

HV02163

Grant Number

H76HA02163

Current Program Status

Terminated

Registration Date

4/10/2019

Participating Start Date

7/1/2019

Participating Approval Date

6/5/2019

Last Recertification Date

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2020
Failure to recertify

Authorizing Official

OASIS Clinic
Wilbert C Jordan, Program Director
(424) 338-2949

Primary Contact

OASIS Clinic
David Lee, Program Administrator
(323) 563-5802

Street Address

1807 e. 120TH sTREET
Los Angeles, CA 90059

Billing Address
Same as Street Address