340B Drug Pricing Program Database
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CHC26512-20 PREFERRED FAMILY HEALTHCARE INC (Active)
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Main Details
Name
PREFERRED FAMILY HEALTHCARE INC
Subdivision Name
Clarity Healthcare Mobile BH/PC IL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034324
340B ID
CHC26512-20
Grant Number
H80CS26512
Additional Details
Current Program Status
Active
Registration Date
10/9/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/10/2023
Last Recertification Date
2/10/2025
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
428 S 36th St
Quincy, IL 62301-5924
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
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