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AVITA PHARMACY 1029
STD796050 ABILENE-TAYLOR CO PUBLIC HEALTH
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Covered Entity Details
Entity Name
ABILENE-TAYLOR CO PUBLIC HEALTH
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD796050
Entity Address
850 North 6th Street
ABILENE, TX 79601
Grant Number
NH25PS005182
Participating Start Date
1/1/1995
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1029
Pharmacy Address
340B PARTNERS PHARMACY LLC D/B/A AVITA P
303 N FRIO ST
SUITE 102
SAN ANTONIO, TX 78207-3034
Pharmacy Comments
Contract Details
Approval Date
4/11/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Jeffers RN, MSN, Nursing Program Director
(325) 437-4660
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587
Signed By Date
4/11/2019
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