340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1038
CHC28362-00 ODYSSEY HOUSE LOUISIANA, INC.
Print
Covered Entity Details
Entity Name
ODYSSEY HOUSE LOUISIANA, INC.
Subdivision Name
Odyssey House Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28362-00
Entity Address
2700 S BROAD AVENUE
NEW ORLEANS, LA 70125
Grant Number
H80CS28362
Participating Start Date
1/1/2019
Last Recertification Date
2/23/2025
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
4/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/16/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Edward C. Carlson, CEO
(504) 494-9628 Ext: 5044949628
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/12/2019
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