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AVITA PHARMACY 1040
CHC26586-00 Bee Busy Wellness Center
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Covered Entity Details
Entity Name
Bee Busy Wellness Center
Subdivision Name
Bee Busy Wellness Center
Type
HRSA-Funded Health Center
340B ID
CHC26586-00
Entity Address
8785 W Bellfort ST
Houston, TX 77031-2403
Grant Number
H80CS26586
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
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
6/14/2021
Contract Begin Date
6/15/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/16/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Norman Mitchell, CEO
(713) 771-2292
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
6/14/2021
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