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AVANT PHARMACY AND WELLNESS
RWI20825D Amity Medical Group
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Covered Entity Details
Entity Name
Amity Medical Group
Subdivision Name
Type
Ryan White Part A
340B ID
RWI20825D
Entity Address
2300A Randolph Rd 1586
Charlotte, NC 28207
Grant Number
H89HA11434
Participating Start Date
1/1/2024
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
AVANT PHARMACY AND WELLNESS
Pharmacy Address
2300 RANDOLPH RD UNIT A-2
CHARLOTTE, NC 28207
Pharmacy Comments
Contract Details
Approval Date
10/31/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nestor Acevedo, Programs Manager
(704) 246-5131
Contract Pharmacy Representative
Avant Pharmacy and Wellness
Amina Abubakar, CEO
(704) 537-0909
Signed By Date
10/12/2023
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