340B Drug Pricing Program Database

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AVITA PHARMACY 1029
CHC12863-02 ST. THOMAS COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Mahalia Jackson Health Service Center
HRSA-Funded Health Center
CHC12863-02
2405 Jackson Ave
New Orleans, LA 70113
H80CS12863
7/1/2014
2/8/2021
4/1/2022


Pharmacy Details

340B PARTNERS PHARMACY LLC D/B/A AVITA P
303 N FRIO ST
SUITE 102
SAN ANTONIO, TX 78207-3034

Contract Details

7/11/2014
10/1/2014

2/21/2020
Agreement registered in error


Contacts


Donald Erwin, CEO
(504) 529-5558



Avita Drugs
Mark Roth, Account Manager
(504) 908-5932
7/11/2014