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AVITA PHARMACY 1028
RWI70119A NO/AIDS Task Force (d.b.a) CrescentCare
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Covered Entity Details
Entity Name
NO/AIDS Task Force (d.b.a) CrescentCare
Subdivision Name
Family Care Services Center
Type
Ryan White Part A
340B ID
RWI70119A
Entity Address
1631 ELYSIAN FIELDS AVE
New Orleans, LA 70117
Grant Number
H89HA00035
Participating Start Date
1/1/2015
Last Recertification Date
2/11/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1028
Pharmacy Address
340B PARTNERS PHARMACY-DALLAS LLC DBA AV
750 FORT WORTH AVE STE H100
DALLAS, TX 75208-1811
Pharmacy Comments
Contract Details
Approval Date
11/4/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587
Signed By Date
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