340B Drug Pricing Program Database

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AVITA PHARMACY 1038
HV12908B NO/AIDS Task Force (d.b.a. CrescentCare)

Covered Entity Details

Family Care Services Center
Ryan White Part C
HV12908B
1631 ELYSIAN FIELDS AVE
New Orleans, LA 70117
H76HA12908
1/1/2015
2/11/2019
4/1/2020


Pharmacy Details

AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM
3308 TULANE AVE STE 102
NEW ORLEANS, LA 70119-7170

Contract Details

1/14/2018
4/1/2018

4/1/2020
Covered Entity Terminated


Contacts


NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000



Avita Drugs
JERRY PURCELL, FOUNDER
(504) 905-4587
1/14/2018