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AVITA PHARMACY 1028
RWII79411 South Plains Community Action Association, Inc. (SPCAA)
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Covered Entity Details
Entity Name
South Plains Community Action Association, Inc. (SPCAA)
Subdivision Name
SPCAA Project CHAMPS
Type
Ryan White Part B
340B ID
RWII79411
Entity Address
3307 Avenue X
Lubbock, TX 79411
Grant Number
X07HA00054
Participating Start Date
4/1/2015
Last Recertification Date
2/10/2025
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
7/14/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roger Cardenas, Deputy Director
(806) 894-6104
Contract Pharmacy Representative
Corey Legendre, Senior Account Executive
(985) 381-0545
Signed By Date
7/14/2016
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