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AVITA PHARMACY 1058
CHC10592-00 HCHC Stone Port
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Covered Entity Details
Entity Name
HCHC Stone Port
Subdivision Name
Harrisonburg Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC10592-00
Entity Address
1380 Little Sorrell Drive
Suite #100
HARRISONBURG, VA 22801
Grant Number
H80CS10592
Participating Start Date
10/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1058
Pharmacy Address
MEDEXPRESS PHARMACY, LTD. DBA AVITA PHAR
1431 W. INNES ST.
SALISBURY, NC 28144
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa B. Bricker, EXECUTIIVE DIRECTOR
(540) 236-3683
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/12/2018
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