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AVITA PHARMACY 1038
CHC26582-00 MQVN COMMUNITY DEVELOPMENT CORP
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Covered Entity Details
Entity Name
MQVN COMMUNITY DEVELOPMENT CORP
Subdivision Name
NOELA Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26582-00
Entity Address
13085 Chef Menteur Hwy
New Orleans, LA 70129-2130
Grant Number
H80CS26582
Participating Start Date
10/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1038
Pharmacy Address
AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM
3308 TULANE AVE STE 102
NEW ORLEANS, LA 70119-7170
Pharmacy Comments
Contract Details
Approval Date
6/29/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diem Nguyen, CEO
(504) 255-9170
Contract Pharmacy Representative
Avita Pharmacy
JERRY PURCELL, CEO/PRESIDENT
(504) 905-4587
Signed By Date
6/29/2016
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