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PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD068106 Apex Community Care Inc.
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Covered Entity Details
Entity Name
Apex Community Care Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD068106
Entity Address
30 West Street
Danbury, CT 06810
Grant Number
6 NU62PS924692-03-01
Participating Start Date
5/14/2021
Last Recertification Date
5/8/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roberta Stewart, CEO
(203) 778-2437
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/17/2023
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