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AVITA PHARMACY 1028
CHC28959-01 RECOVERY CONSULTANTS OF ATLANTA, INCORPORATED
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Covered Entity Details
Entity Name
RECOVERY CONSULTANTS OF ATLANTA, INCORPORATED
Subdivision Name
Recovery Consultants of Atlanta Medical
Type
HRSA-Funded Health Center
340B ID
CHC28959-01
Entity Address
4229 Snapfinger Woods Drive
Decatur, GA 30035-3440
Grant Number
H80CS28959
Participating Start Date
7/1/2019
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1028
Pharmacy Address
340B PARTNERS PHARMACY-DALLAS LLC DBA AV
750 FORT WORTH AVE STE H100
DALLAS, TX 75208-1811
Pharmacy Comments
Contract Details
Approval Date
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cassandra Collins, Executive Director
(404) 289-0313 Ext: 222
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/8/2024
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