340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMBLUE LLC DBA AVITA PHARMACY 1059
STD033012 Equality Health Center
Print
Covered Entity Details
Entity Name
Equality Health Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD033012
Entity Address
38 S MAIN ST
Concord, NH 03301
Grant Number
6 NH25PS005159-04-02
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/5/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jinelle M Hobson, Executive Director
(603) 225-2739
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/4/2023
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