340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
31ST & 3RD PHARMACY INC
STD084011 South Jersey AIDS Alliance
Print
Covered Entity Details
Entity Name
South Jersey AIDS Alliance
Subdivision Name
Oasis
Type
Sexually Transmitted Diseases
340B ID
STD084011
Entity Address
32 S. Tennessee Avenue
Atlantic City, NJ 08401
Grant Number
NH25PS005174
Participating Start Date
1/1/2019
Last Recertification Date
5/10/2024
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
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Babette J Richter, ARCH Nurse Team Leader
(609) 572-1929
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
7/13/2023
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