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31ST & 3RD PHARMACY INC
STD07505 Coalition on AIDS in Passaic County
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Covered Entity Details
Entity Name
Coalition on AIDS in Passaic County
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD07505
Entity Address
100 Hamilton Plaza
Suite 1406
Paterson, NJ 07505
Grant Number
NH25PS004346-03-01
Participating Start Date
4/1/2018
Last Recertification Date
5/28/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerry C Dillard, Executive Director/CEO
(973) 742-6742 Ext: 305
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/17/2023
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