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AVITA PHARMACY 1068
STD796050 ABILENE-TAYLOR CO PUBLIC HEALTH
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Covered Entity Details
Entity Name
ABILENE-TAYLOR CO PUBLIC HEALTH
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD796050
Entity Address
850 North 6th Street
ABILENE, TX 79601
Grant Number
NH25PS005182
Participating Start Date
1/1/1995
Last Recertification Date
5/22/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1068
Pharmacy Address
AVITA DRUGS LLC
426 BUTTERNUT ST
ABILENE, TX 79602-1327
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cari L Waller, Nursing Program Manager
(325) 437-4660
Contract Pharmacy Representative
Abilene-Taylor County PHD
Cari L Waller, Nursing Program Manager
(325) 437-4660
Signed By Date
4/12/2024
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