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AVITA PHARMACY 1073
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 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
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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