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PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD44833 Galion City Health Department
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Covered Entity Details
Entity Name
Galion City Health Department
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD44833
Entity Address
113 Harding Way East
Galion, OH 44833
Grant Number
NH25PS005134
Participating Start Date
1/1/2021
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason McBride, Health Commissioner
(419) 468-1075 Ext: 1261
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
7/13/2023
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