340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1030
FP003899 COMMUNITY ACTION, INC. OF Central Texas
Print
Covered Entity Details
Entity Name
COMMUNITY ACTION, INC. OF Central Texas
Subdivision Name
COMMUNITY HEALTH SERVICES - MLK CLINIC
Type
Family Planning (Title X only)
340B ID
FP003899
Entity Address
215 S. Reimer Ave. Suite 140
SAN MARCOS, TX 78666
Grant Number
FPHPA006521
Participating Start Date
7/1/2013
Last Recertification Date
5/20/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1030
Pharmacy Address
6800 WEST LOOP S STE 225
BELLAIRE, TX 77401
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
Douglas Mudd, EXECUTIVE DIRECTOR
(512) 392-1161 Ext: 332
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/17/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session