340B Drug Pricing Program Database
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CH09942A YAVAPAI, COUNTY OF (Active)
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Main Details
Name
YAVAPAI, COUNTY OF
Subdivision Name
PRESCOTT VALLEY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002074
340B ID
CH09942A
Grant Number
H80CS00842
Additional Details
Current Program Status
Active
Registration Date
2/12/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/14/2020
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Yavapai, County of
Leslie Horton, Director, Health Officer
(928) 442-5303
Primary Contact
Yavapai County Community Health Services
Cody Schmidt, Pharmacy and 340b Section Manager
(928) 583-1038
Addresses
Street Address
3212 N Windsong Dr
Prescott Valley, AZ 86314-2254
Billing Address
Community Health Center of Yavapai
1090 Commerce Drive
Prescott, AZ 86305
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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