340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD46208 Brothers United, Inc.
Print
Covered Entity Details
Entity Name
Brothers United, Inc.
Subdivision Name
N/A
Type
Sexually Transmitted Diseases
340B ID
STD46208
Entity Address
1712 N. Meridian St.
Suite 200
Indianapolis, IN 46202
Grant Number
6 NU62PS924556-01-03
Participating Start Date
7/1/2019
Last Recertification Date
6/3/2025
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
6/12/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Darrin Keith Johnson, Executive Director
(704) 231-6904
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/15/2019
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