340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1028
CHC24198-00 Marillac Community Health Centers
Print
Covered Entity Details
Entity Name
Marillac Community Health Centers
Subdivision Name
DCHC-Carrollton
Type
HRSA-Funded Health Center
340B ID
CHC24198-00
Entity Address
3201 S. Carrollton Ave.
New Orleans, LA 70118-4307
Grant Number
H80CS24198
Participating Start Date
10/1/2012
Last Recertification Date
2/10/2025
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
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Griffin, President & CEO
(504) 212-9501
Contract Pharmacy Representative
Toni Reeder, Senior Account Executive
(504) 905-2360
Signed By Date
10/15/2015
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