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AVITA PHARMACY 1028
STD75460 Paris-Lamar County Health Department
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Covered Entity Details
Entity Name
Paris-Lamar County Health Department
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD75460
Entity Address
400 West Sherman
Paris, TX 75460
Grant Number
NH25PS005182
Participating Start Date
10/1/2022
Last Recertification Date
5/7/2025
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
4/7/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gina Prestridge, Executive Director
(903) 785-4561
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/7/2020
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