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AVITA PHARMACY 1028
STD705013 Acadiana Cares Wellness Center
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Covered Entity Details
Entity Name
Acadiana Cares Wellness Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD705013
Entity Address
809 Martin Luther King Jr. Drive
Lafayette, LA 70501
Grant Number
NH25PS005176
Participating Start Date
7/1/2014
Last Recertification Date
5/6/2025
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
1/14/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Claude Martin, CEO
(337) 233-2437 Ext: 125
Contract Pharmacy Representative
Avita Pharmacy
JERRY PURCELL, CEO/PRESIDENT
(504) 905-4587
Signed By Date
1/14/2015
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