340B Drug Pricing Program Database
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CHC28344-06 Banyan Community Health Center, Inc. (Active)
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Main Details
Name
Banyan Community Health Center, Inc.
Subdivision Name
Banyan Community Health Center-Lauderdale Lakes
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035768
340B ID
CHC28344-06
Grant Number
H80CS28344
Additional Details
Current Program Status
Active
Registration Date
4/5/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/10/2023
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Banyan Health Systems
Gabriela Gutierrez, VP of Integrated Outpatient Services
(786) 239-1846
Primary Contact
Banyan Health SystemS
Anabel Enriquez, Pharmacy Director
(305) 442-1732
Addresses
Street Address
4900 W. Oakland Park Boulevard, 3rd Floor
Lauderdale Lakes, FL 33313-1555
Billing Address
Banyan Health Systems
2300 NW 89th Pl
Miami, FL 33172
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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