340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1029
STD76504 Bell County Public Health District
Print
Covered Entity Details
Entity Name
Bell County Public Health District
Subdivision Name
Temple Clinic
Type
Sexually Transmitted Diseases
340B ID
STD76504
Entity Address
820 N 31st Street
Temple, TX 76504
Grant Number
NH25PS005182
Participating Start Date
10/1/2018
Last Recertification Date
5/29/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1029
Pharmacy Address
340B PARTNERS PHARMACY LLC D/B/A AVITA P
303 N FRIO ST
SUITE 102
SAN ANTONIO, TX 78207-3034
Pharmacy Comments
Contract Details
Approval Date
10/9/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda Robison-Chadwell, Director
(254) 773-4457
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
10/9/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session