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AVITA PHARMACY 1040
FP701191 Administrators of The Tulane Educational Fund / dba Tulane University
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Covered Entity Details
Entity Name
Administrators of The Tulane Educational Fund / dba Tulane University
Subdivision Name
Adolescent Medicine Clinic at Fertel
Type
Family Planning (Title X only)
340B ID
FP701191
Entity Address
711 N Broad
New Orleans, LA 70119
Grant Number
FPHPA006523
Participating Start Date
4/1/2024
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1040
Pharmacy Address
AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10
6100 CORPORATE BLVD STE 250
BATON ROUGE, LA 70808
Pharmacy Comments
Contract Details
Approval Date
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
Avita Drugs
Jerry Purcell, Executive Vice President
(504) 905-4587
Signed By Date
1/7/2025
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