340B Drug Pricing Program Database

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AVITA PHARMACY 1029
CHC11422-00 MT. ENTERPRISE COMMUNITY HEALTH CLINIC

Covered Entity Details

HRSA-Funded Health Center
CHC11422-00
106 WEST RUSK STREET
MT. ENTERPRISE, TX 75681
H80CS12856
10/1/2007
2/10/2025


Pharmacy Details

340B PARTNERS PHARMACY LLC D/B/A AVITA P
303 N FRIO ST
SUITE 102
SAN ANTONIO, TX 78207-3034

Contract Details

1/23/2017
4/1/2017


Contacts


Kenneth A. White, CHIEF EXECUTIVE OFFICER
(903) 822-3076



Avita Pharmacy
JERRY PURCELL, CEO/PRESIDENT
(504) 905-4587
1/23/2017