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AVITA DRUGS TENNESSEE LLC
STD33815 Pineapple Healthcare Inc.
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Covered Entity Details
Entity Name
Pineapple Healthcare Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33815
Entity Address
1253 W Memorial Blvd
Lakeland, FL 33815
Grant Number
NH25PS005131
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
AVITA DRUGS TENNESSEE LLC
Pharmacy Address
DBA AVITA PHARMACY 1049
225 S 11TH ST
STE 102
NASHVILLE, TN 37206
Pharmacy Comments
Contract Details
Approval Date
8/7/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ethan Michael Suarez, President
(407) 839-7278
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/11/2024
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