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AVITA PHARMACY 1039
FQHCLA379 Baptist Community Health Services, Inc.
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Covered Entity Details
Entity Name
Baptist Community Health Services, Inc.
Subdivision Name
BCHS Chalmette
Type
Health Center Program Look-Alike
340B ID
FQHCLA379
Entity Address
221 W Genie St
Chalmette, LA 70043-2125
Grant Number
LALCS31529
Participating Start Date
1/1/2019
Last Recertification Date
2/4/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1039
Pharmacy Address
1631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANS, LA 70117-8208
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Shawn Powers, CEO
(682) 249-4128
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/15/2019
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