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AVITA PHARMACY 1073
STD79714 Andrews County Health Department
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Covered Entity Details
Entity Name
Andrews County Health Department
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD79714
Entity Address
208 NW 2nd Street
Andrews, TX 79714-6308
Grant Number
NH25PS005182
Participating Start Date
1/1/2015
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1073
Pharmacy Address
AVITA DRUGS LLC DBA AVITA PHARMACY 1073
300 SOUTH 2ND STREET
SUIT 102
MCALLEN, TX 78501
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra McCullough, Director
(432) 524-1434
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587
Signed By Date
7/15/2019
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