340B Drug Pricing Program Database

Name

H I V/ A I D S Alliance For Region Two Inc

Subdivision Name

OHCC - 30789 Range Avenue

Type

HRSA-Funded Health Center

Site ID

BPS-H80-031316

340B ID

CHC28962-04

Grant Number

H80CS28962

Current Program Status

Active

Registration Date

11/10/2020

Participating Start Date

1/1/2021

Participating Approval Date

11/16/2020

Last Recertification Date

2/10/2025

Authorizing Official

HIV-Aids Alliance for Region Two, Inc.
Dawn Beasley, COO
(225) 800-1325

Primary Contact

HIVAids Alliance for Region Two Inc
Kacy Fitzgerald, Compliance Director
(225) 424-1777

Street Address

30789 N Range Ave
Denham Springs, LA 70726

Billing Address

HIV/AIDS Alliance for Region Two, Inc
9516 AIRLINE HWY
BATON ROUGE, LA 70815