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AVITA PHARMACY 1037
CH06757B CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
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Covered Entity Details
Entity Name
CAPITOL CITY FAMILY HEALTH CENTER INC dba CARESOUTH
Subdivision Name
Capitol City Family Health Center @ Donaldsonville
Type
HRSA-Funded Health Center
340B ID
CH06757B
Entity Address
904 Catalpa Street
Donaldsonville, LA 70346
Grant Number
H80CS00504
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1037
Pharmacy Address
AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC
2519 CANAL ST
NEW ORLEANS, LA 70119
Pharmacy Comments
Contract Details
Approval Date
12/3/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RHONDA R. LITT, CHIEF EXECUTIVE OFFICER
(225) 650-2026
Contract Pharmacy Representative
Avita Drugs
KEITH FOX, CFO
(225) 236-1540
Signed By Date
10/12/2012
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