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AVITA PHARMACY 1039
STD70127 New Orleans East Wellness Center
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Covered Entity Details
Entity Name
New Orleans East Wellness Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD70127
Entity Address
5646 Read Blvd.
Suite 380
New Orleans, LA 70127
Grant Number
NU62PS924522
Participating Start Date
9/22/2022
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1039
Pharmacy Address
1631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANS, LA 70117-8208
Pharmacy Comments
Contract Details
Approval Date
10/31/2022
Contract Begin Date
11/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald McLendon, Jr. C McLendon, President/CEO
(504) 615-5981
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/31/2022
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