340B Drug Pricing Program Database
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CHC26512-16 PREFERRED FAMILY HEALTHCARE, INCORPORATED (Active)
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Main Details
Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Clarity Healthcare Mobile Medical/BH MO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034157
340B ID
CHC26512-16
Grant Number
H80CS26512
Additional Details
Current Program Status
Active
Registration Date
4/5/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/6/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Preferred Family Healthcare
amanda wosman, VP CHC
(573) 231-2384
Primary Contact
Adult and Child Health
Dhvani Derasari, 340B Program Manager
(682) 559-8205
Addresses
Street Address
141 COMMUNICATION DR
HANNIBAL, MO 63401-3670
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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