Contract Pharmacy Details

AVANT PHARMACY AND WELLNESS
RWI282021 RAIN, Inc.

Covered Entity Details

Entity Name

RAIN, Inc.

Subdivision Name

Type

Ryan White Part A

340B ID

RWI282021

Entity Address

601 E 5th Street
Suite # 470
Charlotte, NC 28202

Grant Number

H89HA11434

Participating Start Date

1/1/2015

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

AVANT PHARMACY AND WELLNESS

Pharmacy Address

6010 E WT HARRIS BLVD
CHARLOTTE, NC 28215-4084

Pharmacy Comments

Contract Details

Approval Date

1/13/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Deborah C. Warren, President & CEO
(704) 973-9815

Contract Pharmacy Representative

RX CLINIC PHARMACY
Amina Abubakar, CEO
(704) 537-0909

Signed By Date

1/13/2017

340B Drug Pricing Program Database