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AVITA DRUGS TENNESSEE LLC
RWI37206 Street Works, Inc
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Covered Entity Details
Entity Name
Street Works, Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI37206
Entity Address
1326 Rosa L. Parks Blvd. Ste. B
Nashville, TN 37208
Grant Number
H89HA11433
Participating Start Date
1/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS TENNESSEE LLC
Pharmacy Address
DBA AVITA PHARMACY 1049
225 S 11TH ST
STE 102
NASHVILLE, TN 37206
Pharmacy Comments
Contract Details
Approval Date
9/30/2021
Contract Begin Date
9/30/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sharon W Hurt, Executive Director
(615) 259-7676
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
9/30/2021
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