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AVITA PHARMACY 1061
FP020458 Weymouth Teen, Women's and Men's Health
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Covered Entity Details
Entity Name
Weymouth Teen, Women's and Men's Health
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP020458
Entity Address
210 Winter Street
Weymouth, MA 02188
Grant Number
FPHPA016029
Participating Start Date
1/1/1998
Last Recertification Date
4/30/2018
Entity Termination Date
7/1/2019
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
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Emily Gold, Director of Reproductive Health Services
(508) 274-6541
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
10/15/2018
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