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AVITA PHARMACY 1028
RWI782071 Alamo Area Resource Center
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Covered Entity Details
Entity Name
Alamo Area Resource Center
Subdivision Name
Type
Ryan White Part A
340B ID
RWI782071
Entity Address
303 N. Frio
San Antonio, TX 78207
Grant Number
H89HA31891
Participating Start Date
1/1/2013
Last Recertification Date
2/12/2025
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
10/8/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Howard Rogers, Executive Director
(210) 591-0210
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587
Signed By Date
10/8/2013
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