Covered Entity Details

RWIID72205 ARKANSAS DEPARTMENT OF HEALTH (Active)

Main Details

Name

ARKANSAS DEPARTMENT OF HEALTH

Subdivision Name

Infectious Disease Branch

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID72205

Grant Number

X07HA00026

Additional Details

Current Program Status

Active

Registration Date

7/1/1999

Participating Start Date

7/1/1999

Participating Approval Date

6/10/2005

Last Recertification Date

2/20/2025

Time Period the Assistance was Received

4/1/2024 - 3/31/2025

Contacts

Authorizing Official

Arkansas Department of Health
Tiffany A Vance, Associate Branch Chief
(501) 661-2466

Primary Contact

Arkansas Department of Health
Chevonne Ayers, Infectious Disease Branch Associate Branch Chief
(501) 280-4495

Addresses

Street Address

4815 West Markham Street Slot 33
F
LITTLE ROCK, AR 72205

Billing Address

ARKANSAS DEPARTMENT OF HEALTH
4815 WEST MARKHAM STREET, SLOT 33
LITTLE ROCK, AR 72205-3867

Comment	Last Updated On
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5/20/08 MODIF ENT NAME, SUB-DIV NAME (WAS ARKANSAS DEPT OF HEALTH AND HUMAN SERVICES, HIV/STD SECTION), MODIF ADDR (WAS SLOT H-33), REMOVED BILL TO; 6/8/06 MODIF NAME, SUBDIV, ADDR (WAS 4815 WEST MARKHAM ST. SLOT 33), ADDED BILL TO; 3/23/06 NEW 340B ID # (WAS RW722051)	07/27/2010

340B Drug Pricing Program Database