340B Drug Pricing Program Database
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CHC10591-14 Community Clinic, Inc., The (Active)
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Main Details
Name
Community Clinic, Inc., The
Subdivision Name
CCI-Rockville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019267
340B ID
CHC10591-14
Grant Number
H80CS10591
Additional Details
Current Program Status
Active
Registration Date
5/24/2021
Participating Start Date
7/1/2021
Participating Approval Date
5/27/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Clinic, Inc. (CCI)
Sonya J. Bruton, CEO and President
(240) 839-5107
Primary Contact
CCI Health and Wellness
marvhe howard, Pharmacy Director
(667) 770-6534
Addresses
Street Address
2 Taft Ct
Rockville, MD 20850-1390
Billing Address
Community Clinic, INC., The
8630 Fenton Street
Suite 1204
Silver Spring, MD 20910
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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