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AVITA PHARMACY 1058
STD23231 Nationz Foundation Inc.
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Covered Entity Details
Entity Name
Nationz Foundation Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD23231
Entity Address
1603 Santa Rosa Rd.
203
Richmond, VA 23229
Grant Number
NU62PS924552
Participating Start Date
12/2/2022
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1058
Pharmacy Address
MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR
1431 W. INNES ST.
SALISBURY, NC 28144
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Zakia McKensey, Executive Director
(804) 218-4273
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
1/16/2024
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