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AVITA PHARMACY 1032
STD73116 Equality Health Group Foundation
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Covered Entity Details
Entity Name
Equality Health Group Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD73116
Entity Address
8 SW 89th St.
STE 200
Oklahoma City, OK 73139
Grant Number
NH25PS005143
Participating Start Date
9/14/2020
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1032
Pharmacy Address
AVITA DRUGS LLC D/B/A AVITA PHARMACY 103
6260 WESTPARK DR STE 105
HOUSTON, TX 77057-7312
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
10/9/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cody Turpin, President
(405) 420-7328
Contract Pharmacy Representative
Long's Drugs
Ashley Ellis, Corporate Counsel
(803) 254-5884 Ext: 42309
Signed By Date
10/5/2020
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