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AVITA PHARMACY 1058
FQHCLA486 UNITY HEALTH ON MAIN
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Covered Entity Details
Entity Name
UNITY HEALTH ON MAIN
Subdivision Name
Unity Health On Main
Type
Health Center Program Look-Alike
340B ID
FQHCLA486
Entity Address
505 N Main St, Ste C
Greenville, SC 29601-2019
Grant Number
LALCS52974
Participating Start Date
7/1/2025
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
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Norma Jean Suarez, Executive Director
(864) 982-8729
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/2/2025
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