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AVITA PHARMACY 1028
HV12908A NO/AIDS Task Force
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Covered Entity Details
Entity Name
NO/AIDS Task Force
Subdivision Name
CrescentCare Mid-City
Type
Ryan White Part C
340B ID
HV12908A
Entity Address
2515 Canal Street
New Orleans, LA 70119
Grant Number
H76HA12908
Participating Start Date
1/1/2015
Last Recertification Date
3/7/2025
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
10/17/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587
Signed By Date
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