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AVITA PHARMACY 1039
CHC28964-00 START CORPORATION
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Covered Entity Details
Entity Name
START CORPORATION
Subdivision Name
Start Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC28964-00
Entity Address
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Grant Number
H80CS28964
Participating Start Date
1/1/2017
Last Recertification Date
2/12/2025
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
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Trudy Franks, Clinic Director
(985) 333-2020 Ext: 2001
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/15/2019
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