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LONGS DRUGS OF LEXINGTON
CHC24129-01 ATHENS NEIGHBORHOOD HEALTH CENTER
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Covered Entity Details
Entity Name
ATHENS NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Athens Neighborhood Health Center, Inc. East
Type
HRSA-Funded Health Center
340B ID
CHC24129-01
Entity Address
402 Mckinley Dr
Athens, GA 30601-3261
Grant Number
H80CS24129
Participating Start Date
1/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONGS DRUGS OF LEXINGTON
Pharmacy Address
D/B/A AVITA PHARMACY 1051
1216 W MAIN ST
STE D
LEXINGTON, SC 29072-2453
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
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