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AVITA PHARMACY 1043
FP39097 Plan A Health, Inc
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Covered Entity Details
Entity Name
Plan A Health, Inc
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP39097
Entity Address
1454 Main Street
Louise, MS 39097
Grant Number
FPHPA006550-01-00
Participating Start Date
10/1/2022
Last Recertification Date
5/9/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1043
Pharmacy Address
AVITA DRUGS MISSISSIPPI LLC D/B/A AVITA
805 E RIVER PL STE A
JACKSON, MS 39202-3486
Pharmacy Comments
Contract Details
Approval Date
8/24/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Caroline Weinberg, CEO
(601) 207-3959
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/13/2022
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