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RWII18202C Wyoming Valley AIDS Council (Active)
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Main Details
Name
Wyoming Valley AIDS Council
Subdivision Name
Type
Ryan White Part B
340B ID
RWII18202C
Grant Number
X07HA00021
Additional Details
Current Program Status
Active
Registration Date
7/13/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/1/2023
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2022 - 3/31/2027
Contacts
Authorizing Official
Wyoming Valley AIDS Council
KEN J ZULA, EXECUTIVE DIRECTOR
(570) 823-5808 Ext: 302
Primary Contact
WYOMING VALLEY AIDS COUNCIL, INC.
BRADEN V BEAMER, Medical Case Management Director
(570) 823-5808 Ext: 304
Addresses
Street Address
1 Kim Avenue
3
Tunkhannock, PA 18657
Billing Address
Wyoming Valley AIDS Council
330 Bowman Street
1
Wilkes Barre, PA 18702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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