340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
STD33024 Alpha Omega Alliance Inc
Print
Covered Entity Details
Entity Name
Alpha Omega Alliance Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33024
Entity Address
2800 E Commercial Blvd
Suite 210
Ft Lauderdale, FL 33308
Grant Number
NH25PS005131
Participating Start Date
12/4/2019
Last Recertification Date
5/15/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
Pharmacy Address
8601 COMMODITY CIR, SUITE 105
ORLANDO, FL 32819-9003
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
4/20/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Colin C Conner II, CEO
(407) 924-7620
Contract Pharmacy Representative
Avita Pharmacy
Shawn Smith, Account Executive
(305) 906-2937
Signed By Date
4/14/2023
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