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AVITA PHARMACY 1061
CHC24162-01 OPPORTUNITIES INDUSTRIALIZATION CENTER INC
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Covered Entity Details
Entity Name
OPPORTUNITIES INDUSTRIALIZATION CENTER INC
Subdivision Name
OIC Family Medical Center at Happy Hill
Type
HRSA-Funded Health Center
340B ID
CHC24162-01
Entity Address
300 N GRACE ST
ROCKY MOUNT, NC 27804-5345
Grant Number
H80CS24162
Participating Start Date
7/3/2018
Last Recertification Date
2/16/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1061
Pharmacy Address
PHARMBLUE MASSACHUSETTS LLC DBA AVITA PH
163 PLEASANT ST
ATTLEBORO, MA 02703-2457
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2018
Ownership change
Contacts
Covered Entity Signing Official
Brian Elleby, Director
(252) 544-3529
Contract Pharmacy Representative
OIC
Kimberly Barnette, Quality Improvement Manager
(252) 210-9864
Signed By Date
7/3/2018
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