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AVITA PHARMACY 1039
STD700723 Harris M. Blackman, MD, LLC
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Covered Entity Details
Entity Name
Harris M. Blackman, MD, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD700723
Entity Address
1111 Medical Center Boulevard
N-401
Marrero, LA 70072
Grant Number
NH25PS005176
Participating Start Date
4/1/2023
Last Recertification Date
5/12/2025
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
10/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Ladd Bowman, Office Manager
(504) 347-2141 Ext: 1
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/15/2023
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