340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1039
STD700433 David L. Schneider, M.D., A.P.M.C.
Print
Covered Entity Details
Entity Name
David L. Schneider, M.D., A.P.M.C.
Subdivision Name
David L. Schneider, M.D., A.P.M.C.
Type
Sexually Transmitted Diseases
340B ID
STD700433
Entity Address
2611 Jackson Blvd
Chalmette, LA 70043
Grant Number
NH25PS005176
Participating Start Date
1/1/2024
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1039
Pharmacy Address
1631 ELYSIAN FIELDS AVE STE 200
NEW ORLEANS, LA 70117-8208
Pharmacy Comments
Contract Details
Approval Date
12/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Adil Aryman Fatakia, MD
(504) 895-5357 Ext: 1
Contract Pharmacy Representative
Avita
Keith Fox, Senior VP National Accounts
(225) 315-8186
Signed By Date
10/13/2023
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