340B Drug Pricing Program Database
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RWII32177 Putnam County Health Department (Active)
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Main Details
Name
Putnam County Health Department
Subdivision Name
Type
Ryan White Part B
340B ID
RWII32177
Grant Number
X07HA00057
Additional Details
Current Program Status
Active
Registration Date
7/27/2021
Participating Start Date
7/30/2021
Participating Approval Date
7/30/2021
Last Recertification Date
2/21/2025
Time Period the Assistance was Received
4/1/2017 - 3/31/2027
Contacts
Authorizing Official
DOH-Putnam
Carol Kazounis, Interim Administrator
(386) 326-3254
Primary Contact
DOH-Putnam
Stacie Branam, Director of Nursing
(386) 937-3563
Addresses
Street Address
2801 Kennedy Street
Palatka, FL 32177
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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