340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AVANT PHARMACY AND WELLNESS
RWI28212 Carolinas CARE Partnership
Print
Covered Entity Details
Entity Name
Carolinas CARE Partnership
Subdivision Name
Medical Case Management
Type
Ryan White Part A
340B ID
RWI28212
Entity Address
5855 Executive Center Drive
Suite 200
Charlotte, NC 28212
Grant Number
H89HA11434
Participating Start Date
7/1/2018
Last Recertification Date
1/31/2022
Entity Termination Date
4/1/2023
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
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Shannon Warren, Executive Director
(704) 496-9581
Contract Pharmacy Representative
RX CLINIC PHARMACY
Amina Abubakar, CEO
(704) 537-0909
Signed By Date
10/5/2016
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session