340B Drug Pricing Program Database


AVITA PHARMACY 1041 - information as of 4/28/2025 1:51:35 AM


AVITA PHARMACY 1041

AVITA DRUGS LLC D/B/A AVITA PHARMACY 104
1715 COMMON ST STE A
LAKE CHARLES, LA 70601-6135



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsHV26854Southwest Louisiana AIDS Counciln/aRyan White Part C425 Kingsley Street
Lake CharlesLA01/01/2020 1/1/2020 12:05 AM
DetailsRW428852Southwest Louisiana AIDS Council Ryan White Part D425 Kingsley Street
Lake CharlesLA01/01/2020 1/1/2020 12:05 AM
DetailsRWII70501ACADIANA CARES Ryan White Part B809 MARTIN LUTHER KING JR. DRIVE
LAFAYETTELA07/01/2025 4/17/2025 5:04 PM
DetailsRWII70601Southwest Louisiana AIDS Council Ryan White Part B425 Kingsley Street
Lake CharlesLA01/01/2020 1/1/2020 12:05 AM
DetailsRWII71104PHILADELPHIA CENTER Ryan White Part B2020 CENTENARY BOULEVARD
SHREVEPORTLA01/01/2024 1/1/2024 12:01 AM
DetailsSTD701163Lafayette Foundation Clinic INC Sexually Transmitted Diseases914 N Rampart St
New OrleansLA04/01/2025 4/1/2025 12:01 AM
DetailsSTD701608LOUISIANA DHH OFFICE OF PUBLIC HEALTHSTD/HIV/Hepatitis ProgramSexually Transmitted Diseases1450 POYDRAS STREET Suite 2136
NEW ORLEANSLA10/31/2022 10/31/2022 2:07 PM
DetailsSTD70508Lafayette Foundation Clinic INC Sexually Transmitted Diseases117 Caillouet Place
LafayetteLA10/01/2020 10/1/2020 12:01 AM
DetailsSTD706012Southwest Louisiana AIDS Council Sexually Transmitted Diseases425 Kingsley Street
Lake CharlesLA01/01/202007/01/20237/1/2023 12:01 AM
DetailsSTD706012Southwest Louisiana AIDS Council Sexually Transmitted Diseases425 Kingsley Street
Lake CharlesLA10/01/2023 10/1/2023 12:01 AM
DetailsSTD70816Grace House of Baton Rouge, Inc.Grace Healthcare and Medical Solution CenterSexually Transmitted Diseases9800 Airline Hwy Suite
105
Baton RougeLA07/01/2025 4/13/2025 3:34 PM
DetailsSTD70820Byja Charitable Alliance, Inc. Sexually Transmitted Diseases7170 Burbank Drive - Suite B1
Baton RougeLA07/01/2025 4/11/2025 3:11 PM
DetailsSTD71104The Philadelphia Center Sexually Transmitted Diseases2020 Centenary Blvd.
ShreveportLA01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  AVITA PHARMACY 1041 AVITA DRUGS LLC D/B/A AVITA PHARMACY 104 1715 COMMON ST STE A LAKE CHARLES, LA 70601-61352/19/2021 12:12 PM
DetailsNameUpdate AVITA DRUGS, LLC DBA AVITA PHARMACYAVITA PHARMACY 10412/19/2021 12:12 PM
DetailsCommentsInsert   10/10/2019 4:34 PM
DetailsIs DeletedInsert  False10/10/2019 4:34 PM
AddressesPharmacy AddressInsert  AVITA DRUGS, LLC DBA AVITA PHARMACY 1715 COMMON ST STE A LAKE CHARLES, LA 70601-613510/10/2019 4:34 PM
DetailsNameInsert  AVITA DRUGS, LLC DBA AVITA PHARMACY10/10/2019 4:34 PM