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AVITA PHARMACY 1029
RWII27292 Positive Wellness Alliance
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Covered Entity Details
Entity Name
Positive Wellness Alliance
Subdivision Name
Type
Ryan White Part B
340B ID
RWII27292
Entity Address
3504 Vest mill rd.
Winston-Salem, NC 27103
Grant Number
X07HA00051-33-02
Participating Start Date
7/1/2013
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1029
Pharmacy Address
340B PARTNERS PHARMACY LLC D/B/A AVITA P
303 N FRIO ST
SUITE 102
SAN ANTONIO, TX 78207-3034
Pharmacy Comments
Contract Details
Approval Date
10/15/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julie Meyer, Executive Director
(336) 248-4646 Ext: 7103
Contract Pharmacy Representative
Avita
Veleria Levy, Senior Account Executive
(704) 550-1900
Signed By Date
10/15/2014
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