340B Drug Pricing Program Database

Pharmacy Name

AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM

Pharmacy Address

8601 COMMODITY CIR, SUITE 105
ORLANDO, FL 32819-9003

Pharmacy Comments

Approval Date

11/22/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Augustine Carbon, President
(305) 788-0007

Contract Pharmacy Representative

Avita
Chris Creamer, COO
(469) 592-2000

Signed By Date

10/8/2021