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AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
STD328192 Crew Community Health, Inc
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Covered Entity Details
Entity Name
Crew Community Health, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD328192
Entity Address
8601 Commodity Circle
103
Orlando, FL 32819
Grant Number
NH25PS004342
Participating Start Date
9/12/2023
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
Pharmacy Address
8601 COMMODITY CIR, SUITE 105
ORLANDO, FL 32819-9003
Pharmacy Comments
Contract Details
Approval Date
9/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Chad Thomas Stowers, President
(407) 605-2253
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
9/13/2021
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