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AVITA PHARMACY 1038
CH062376A JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
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Covered Entity Details
Entity Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC
Subdivision Name
JCHCC River Ridge Clinic
Type
HRSA-Funded Health Center
340B ID
CH062376A
Entity Address
11312 Jefferson Hwy
River Ridge, LA 70123-1709
Grant Number
H80CS06716
Participating Start Date
7/1/2009
Last Recertification Date
2/20/2018
Entity Termination Date
4/1/2019
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
4/1/2019
Covered Entity Terminated
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
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