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AVITA PHARMACY 1028
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 1028
Pharmacy Address
340B PARTNERS PHARMACY-DALLAS LLC DBA AV
750 FORT WORTH AVE STE H100
DALLAS, TX 75208-1811
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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