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AVITA DRUGS FLORIDA, LLC DBA AVITA PHARM
STD330303 Devonear, Inc. C.M.H.C.
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Covered Entity Details
Entity Name
Devonear, Inc. C.M.H.C.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330303
Entity Address
950 N. Krome Ave.
Suite 408
homestead, FL 33030
Grant Number
NH25PS004342
Participating Start Date
10/1/2023
Last Recertification Date
5/14/2025
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
10/9/2023
Contract Begin Date
10/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Khadijah Carbon, Head Manager
(786) 742-0034
Contract Pharmacy Representative
Avita Pharmacy
Chris Casseri, SVP Sales Acct Mgmt and Marketing
(225) 773-7218
Signed By Date
10/9/2023
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