340B Drug Pricing Program Database
AVITA PHARMACY 1037
STD701191 NO/AIDS Task Force (d.b.a. CrescentCare) - information as of 6/4/2025 1:48:16 PM
Covered Entity Details
Entity Name
NO/AIDS Task Force (d.b.a. CrescentCare)
Subdivision Name
CrescentCare Mid-City
Type
Sexually Transmitted Diseases
340B ID
STD701191
Entity Address
2515 Canal Street
New Orleans, LA 70117
Grant Number
NH25PS005176
Participating Start Date
10/1/2013
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1037
Pharmacy Address
AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC
2519 CANAL ST
NEW ORLEANS, LA 70119
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DeAnn Gruber, Administrative Director Louisiana OPH STD/HIV Program
(504) 568-7474
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587
Signed By Date
10/7/2013
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