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RWII33430L Florida Department of Health (Terminated)
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Main Details
Name
Florida Department of Health
Subdivision Name
Pasco County Health Department
Type
Ryan White Part B
340B ID
RWII33430L
Grant Number
X07HA00057
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/21/2020
Last Recertification Date
2/9/2023
Time Period the Assistance was Received
4/1/2017 - 3/31/2023
Termination Date
Termination Reason
4/1/2024
Loss of qualifying grant/support
Contacts
Authorizing Official
Department of Health in Pasco County
Trang Chitakone, Administrator, Health Officer
(727) 619-0152
Primary Contact
FL DOH Pasco Co
Elizabeth Ambrose Rafferty, EDON
(727) 619-0307
Addresses
Street Address
13941 15th Street
Dade City, FL 33525
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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