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AVITA PHARMACY 1058
STD22044 NovaSalud, Inc.
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Covered Entity Details
Entity Name
NovaSalud, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD22044
Entity Address
2946 Sleepy Hollow Rd
Ste 3C
FALLS CHURCH, VA 22044
Grant Number
1NH25PS005137
Participating Start Date
7/2/2021
Last Recertification Date
5/7/2024
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
Hugo Delgado, Executive Director
(703) 589-8427
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/16/2024
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