340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA DRUGS TENESSEE, LLC
RWII37204 Nashville CARES
Print
Covered Entity Details
Entity Name
Nashville CARES
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37204
Entity Address
442 Metroplex Dr.
Building D Suite 100
Nashville, TN 37211
Grant Number
X07HA00024
Participating Start Date
4/23/2021
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS TENESSEE, LLC
Pharmacy Address
DBA AVITA PHARMACY 1050
806 S COOPER ST
STE A
MEMPHIS, TN 38104
Pharmacy Comments
Contract Details
Approval Date
4/23/2021
Contract Begin Date
4/23/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Amna Osman, CEO
(615) 762-6953
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/15/2021
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