340B Drug Pricing Program Database

Pharmacy Name

AVITA PHARMACY 1073

Pharmacy Address

AVITA DRUGS LLC DBA AVITA PHARMACY 1073
300 SOUTH 2ND STREET
SUIT 102
MCALLEN, TX 78501

Pharmacy Comments

Approval Date

7/9/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Joe McAdams, Executive Director
(512) 939-2645

Contract Pharmacy Representative

Avita Pharmacy
JERRY PURCELL, CEO/PRESIDENT
(504) 905-4587

Signed By Date

7/9/2018