340B Drug Pricing Program Database

Name

West Alabama AIDS Outreach

Subdivision Name

Five Horizons Health Services - Dental Clinic

Type

Ryan White Part B

340B ID

RWII354011E

Grant Number

X07HA00049

Current Program Status

Terminated

Registration Date

3/10/2023

Participating Start Date

3/13/2023

Participating Approval Date

3/13/2023

Last Recertification Date

Time Period the Assistance was Received

4/1/2023 - 3/30/2024

Termination Date
Termination Reason

7/1/2023
Business decision by the Covered Entity

Authorizing Official

West Alabama AIDS Outreach DBA Five Horizons Health Services
Billy Kirkpatrick, Chief Executive Officer
(205) 759-8470 Ext: 7

Primary Contact

West Alabama AIDS Outreach dba Five Horizons Health Services
Will Rainer, Chief Compliance Officer
(659) 734-2319

Street Address

3052 McGehee Road
Montgomery, AL 36111

Billing Address

West Alabama AIDS Outreach dba Five Horizons Health Services
2720 6th Street
Tuscaloosa, AL 35401