340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONG'S DEKALB HEALTH PHARMACY
CHC24129-00 ATHENS NEIGHBORHOOD HEALTH CENTER
Print
Covered Entity Details
Entity Name
ATHENS NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Athens Neighborhood Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC24129-00
Entity Address
675 College Ave
Athens, GA 30601-2635
Grant Number
H80CS24129
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONG'S DEKALB HEALTH PHARMACY
Pharmacy Address
AVITA PHARMACY 1045
1428 SCOTT BLVD
DECATUR, GA 30030
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marcus Garner, CEO
(404) 788-5870
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/15/2019
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