340B Drug Pricing Program Database
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RW424824 Baker County Health Department (Terminated)
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Main Details
Name
Baker County Health Department
Subdivision Name
Type
Ryan White Part D
340B ID
RW424824
Grant Number
H12HA24824
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/3/2019
Last Recertification Date
2/5/2020
Time Period the Assistance was Received
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Florida
Tina M. Bottini, Senior Asst. Dean, Research
(904) 244-9478
Primary Contact
University of Florida
Kendall Guthrie, Progam Director
(904) 244-4424
Addresses
Street Address
480 W. Lowder St.
Mcclenny, FL 32063
Billing Address
UF CARES
910 N. Jefferson St.
Jacksonville, FL 32209
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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