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PHARMBLUE LLC DBA AVITA PHARMACY 1059
RWII36830 East Alabama Health Services DBA Unity Wellness Center
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Covered Entity Details
Entity Name
East Alabama Health Services DBA Unity Wellness Center
Subdivision Name
Type
Ryan White Part B
340B ID
RWII36830
Entity Address
122 North 20th Street
Building 26
Opelika, AL 36801
Grant Number
X07HA00049
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMBLUE LLC DBA AVITA PHARMACY 1059
Pharmacy Address
1226 CHESTNUT ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
4/1/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lee Wilkins, Funding Manager
(334) 749-3593 Ext: 204
Contract Pharmacy Representative
PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033
Signed By Date
4/1/2016
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