340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1028
STD76012 Together for health
Print
Covered Entity Details
Entity Name
Together for health
Subdivision Name
Covenant Women's Health
Type
Sexually Transmitted Diseases
340B ID
STD76012
Entity Address
801 W Road to Six Flags Street
Suite 116
Arlington, TX 76012
Grant Number
NH25PS005182
Participating Start Date
7/1/2025
Last Recertification Date
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
5/23/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leonard Hinton, Manager
(917) 364-8984
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
5/23/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session