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AVITA PHARMACY 1058
RWII33807 Harrisonburg Community Health Center
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Covered Entity Details
Entity Name
Harrisonburg Community Health Center
Subdivision Name
Type
Ryan White Part B
340B ID
RWII33807
Entity Address
1380 Little sorrell dr
Harrisonburg, VA 22801
Grant Number
X07HA00009
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1058
Pharmacy Address
MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR
1431 W. INNES ST.
SALISBURY, NC 28144
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
7/18/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa B. Bricker, EXECUTIIVE DIRECTOR
(540) 236-3683
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/17/2018
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