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AVITA PHARMACY 1037
CH040570 FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER INC
Subdivision Name
FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH040570
Entity Address
117 S 11th Ave
Laurel, MS 39440-4312
Grant Number
H80CS00538
Participating Start Date
10/1/1995
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1037
Pharmacy Address
AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC
2519 CANAL ST
NEW ORLEANS, LA 70119
Pharmacy Comments
Contract Details
Approval Date
4/20/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rashad Ali, CEO
(601) 425-3033 Ext: 156
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/20/2018
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