340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1038
CH0623760 JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Print
Covered Entity Details
Entity Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
Jefferson Community Health Care Centers-Avondale
Type
HRSA-Funded Health Center
340B ID
CH0623760
Entity Address
3932 U.S. Hwy 90
Avondale, LA 70094
Grant Number
H80CS06716
Participating Start Date
7/1/2006
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1038
Pharmacy Address
AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM
3308 TULANE AVE STE 102
NEW ORLEANS, LA 70119-7170
Pharmacy Comments
Contract Details
Approval Date
10/14/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Shondra Williams, CEO
(504) 762-8931
Contract Pharmacy Representative
Avita Pharmacy Solution
mark Roth, Senior Account Executive
(504) 908-5932
Signed By Date
10/14/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session