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AVITA PHARMACY 1029
HV24725 Progressive Recovery Resources, LLC
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Covered Entity Details
Entity Name
Progressive Recovery Resources, LLC
Subdivision Name
Type
Ryan White Part C
340B ID
HV24725
Entity Address
1801 N Tryon St
Ste B325
Charlotte, NC 28206-2793
Grant Number
H76HA24725
Participating Start Date
4/1/2014
Last Recertification Date
3/10/2016
Entity Termination Date
4/1/2016
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
Contract Termination Date
Termination Reason
4/1/2016
Contacts
Covered Entity Signing Official
Ameer Green, Executive Director
(704) 891-6404
Contract Pharmacy Representative
Avita
Veleria Levy, Senior Account Executive
(704) 550-1900
Signed By Date
10/15/2014
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