340B Drug Pricing Program Database
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CH07055AP Primary Health Care, Inc. (Active)
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Main Details
Name
Primary Health Care, Inc.
Subdivision Name
Primary Health Care - South Side Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031241
340B ID
CH07055AP
Grant Number
H80CS00715
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/6/2021
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Health Care
Nathan Simpson, CEO
(515) 248-1868
Primary Contact
Primary Health Care
Heidi Price-Eastman, Pharmacy Director
(515) 248-1558
Addresses
Street Address
2401 SE 14th St
Des Moines, IA 50320-1111
Billing Address
Primary Health Care
1200 University Ave
200
Des Moines, IA 50314
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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