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AVITA PHARMACY 1058
STD292017 Joseph H Neal Health Collaborative
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Covered Entity Details
Entity Name
Joseph H Neal Health Collaborative
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD292017
Entity Address
1411 Barnwell Street
Ste 1
Columbia, SC 29201
Grant Number
NH25PS004378
Participating Start Date
4/1/2021
Last Recertification Date
5/30/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1058
Pharmacy Address
MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR
1431 W. INNES ST.
SALISBURY, NC 28144
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenric Ware, Executive Director
(803) 849-8434
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/14/2021
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