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AVITA PHARMACY 1034
STD76574 Williamson County and Cities Health District
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Covered Entity Details
Entity Name
Williamson County and Cities Health District
Subdivision Name
Clinical Services
Type
Sexually Transmitted Diseases
340B ID
STD76574
Entity Address
115 W. 6th St.
Taylor, TX 76574
Grant Number
NH25PS005182
Participating Start Date
10/1/2019
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1034
Pharmacy Address
340B PARTNERS PHARMACY-DALLAS LLC DBA AV
2800 S IH-35 FRONTAGE RD.
STE 105
AUSTIN, TX 78704
Pharmacy Comments
Contract Details
Approval Date
5/12/2022
Contract Begin Date
5/17/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amanda Norwood, Medical Director
(512) 248-3250
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
5/12/2022
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