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AVITA PHARMACY 1058
STD237041 Empowering Transgender Services Inc.
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Covered Entity Details
Entity Name
Empowering Transgender Services Inc.
Subdivision Name
ETSI Health Clinic
Type
Sexually Transmitted Diseases
340B ID
STD237041
Entity Address
446 Effingham Street
Suite 302
Portsmouth, VA 23704
Grant Number
NH25PS005137
Participating Start Date
7/1/2024
Last Recertification Date
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nyonna Lakia Byers, Founder/CEO
(757) 765-5940
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/15/2024
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