340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVITA PHARMACY 1029
CHC12863-03 ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
ST. THOMAS COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Columbia Parc CHC
Type
HRSA-Funded Health Center
340B ID
CHC12863-03
Entity Address
3943 Saint Bernard Ave
New Orleans, LA 70122
Grant Number
H80CS12863
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
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
7/11/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/21/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Donald Erwin, CEO
(504) 529-5558
Contract Pharmacy Representative
Avita Drugs
Mark Roth, Account Manager
(504) 908-5932
Signed By Date
7/11/2014
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session