340B Drug Pricing Program Database

Pharmacy Name

AVITA PHARMACY 1037

Pharmacy Address

AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC
2519 CANAL ST
NEW ORLEANS, LA 70119

Pharmacy Comments

Approval Date

10/17/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official


Contract Pharmacy Representative

Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587

Signed By Date