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31ST & 3RD PHARMACY INC
STD01062 Transhealth, Inc.
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Covered Entity Details
Entity Name
Transhealth, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD01062
Entity Address
10 Main Street
3rd Floor
Florence, MA 01062
Grant Number
NH25PS005167-04-02
Participating Start Date
11/7/2022
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
4/3/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dallas Michelle Ducar, CEO and President
(413) 341-9400
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/3/2024
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