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AVITA PHARMACY 1040
STD019151 Health Quarters d/b/a HealthQ
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Covered Entity Details
Entity Name
Health Quarters d/b/a HealthQ
Subdivision Name
Beverly Site
Type
Sexually Transmitted Diseases
340B ID
STD019151
Entity Address
100 Cummings Center
Suite 110-E
Beverly, MA 01915
Grant Number
6 NH25PS005167-05-06
Participating Start Date
4/1/2017
Last Recertification Date
6/1/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1040
Pharmacy Address
AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10
6100 CORPORATE BLVD STE 250
BATON ROUGE, LA 70808
Pharmacy Comments
Contract Details
Approval Date
12/18/2020
Contract Begin Date
12/30/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gabrielle Ross, Executive Director
(978) 489-4993
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
12/18/2020
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