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AVITA PHARMACY 1028
DSH190036 OCHSNER CLINIC FOUNDATION
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Covered Entity Details
Entity Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
DBA OCHSNER FOUNDATION HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH190036
Entity Address
1514-1516 JEFFERSON HIGHWAY
NEW ORLEANS, LA 70121
Medicare Provider Number
190036
Participating Start Date
7/1/2006
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1028
Pharmacy Address
340B PARTNERS PHARMACY-DALLAS LLC DBA AV
750 FORT WORTH AVE STE H100
DALLAS, TX 75208-1811
Pharmacy Comments
Contract Details
Approval Date
1/26/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott Posecai, Executive VP and Chief Financial Officer
(504) 842-4097
Contract Pharmacy Representative
Avita Drugs
Mark Roth, Account Manager
(504) 908-5932
Signed By Date
1/26/2015
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