340B Drug Pricing Program Database
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CH02007M Henry J. Austin Health Center, Inc. (Active)
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Main Details
Name
Henry J. Austin Health Center, Inc.
Subdivision Name
Henry J Austin Health Center - Mobile Health Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024564
340B ID
CH02007M
Grant Number
H80CS00531
Additional Details
Current Program Status
Active
Registration Date
10/8/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/8/2019
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Henry J. Austin Health Center, INC.,
Charles L. Davis II, Chief Executive Officer
(609) 278-5933
Primary Contact
Henry J. Austin Health Center, INC.,
Taylor Kemp, 340B Manager
(609) 278-5971
Addresses
Street Address
218 North Broad St.
Trenton, NJ 08608-1306
Billing Address
Henry J. Austin Health Center
321 N. Warren Street
Trenton, NJ 08618
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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