Pharmacy Details

AVITA PHARMACY 1014 - information as of 5/17/2025 1:10:33 AM

Name
AVITA PHARMACY 1014

Address

PHARMEDQUEST PHARMACY SERVICES DBA AVITA
45104 10TH ST W STE A
LANCASTER, CA 93534-2310

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH092536AM	JWCH Institute, Inc.	Wesley Health Centers- Health and Wellness Center	HRSA-Funded Health Center	45104 10th St W		Lancaster	CA	04/01/2020		4/1/2020 12:05 AM
Details	CH092536AN	JWCH Institute, Inc.	Wesley Health Centers- Palmdale Central	HRSA-Funded Health Center	2151 E Palmdale Blvd		Palmdale	CA	04/01/2020		4/1/2020 12:05 AM
Details	CH092536AP	JWCH Institute, Inc.	Wesley Health Centers- Palmdale East	HRSA-Funded Health Center	37926 47th St E		Palmdale	CA	04/01/2020		4/1/2020 12:05 AM
Details	CH092536BA	JWCH Institute, Inc.	Wesley Health Centers - Health and Wellness Center 2	HRSA-Funded Health Center	45124 10th St W		Lancaster	CA	01/01/2024		1/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1014 PHARMEDQUEST PHARMACY SERVICES DBA AVITA 45104 10TH ST W STE A LANCASTER, CA 93534-2310	6/7/2021 5:10 PM
Addresses	Pharmacy Address	Insert			AVITA PHARMACY 1014 PHARMEDQUEST PHARMACY SERVICES 45104 10TH ST W STE A LANCASTER, CA 93534-2310	5/5/2021 10:46 AM
Details	Name	Update		JWCH PMQ LANCASTER PHARMACY	AVITA PHARMACY 1014	5/5/2021 10:46 AM
Details	Comments	Insert				1/15/2020 6:38 AM
Details	Is Deleted	Insert			False	1/15/2020 6:38 AM
Addresses	Pharmacy Address	Insert			JWCH PMQ LANCASTER PHARMACY PHARMEDQUEST PHARMACY SERVICES 45104 10TH ST W STE A LANCASTER, CA 93534-2310	1/15/2020 6:38 AM
Details	Name	Insert			JWCH PMQ LANCASTER PHARMACY	1/15/2020 6:38 AM