Contract Pharmacy Details

LONGS DRUGS OF LEXINGTON SC INC
CHC33642-01 AIDS Action Coalition of Huntsville

Covered Entity Details

Entity Name

AIDS Action Coalition of Huntsville

Subdivision Name

Thrive Alabama

Type

HRSA-Funded Health Center

340B ID

CHC33642-01

Entity Address

600 St. Clair Avenue, Building 7, Suite 18
Huntsville, AL 35801

Grant Number

H80CS33642

Participating Start Date

1/1/2020

Last Recertification Date

2/7/2022

Entity Termination Date

1/1/2023

Pharmacy Details

Pharmacy Name

LONGS DRUGS OF LEXINGTON SC INC

Pharmacy Address

1216 WEST MAIN ST
LEXINGTON, SC 29072

Pharmacy Comments

Contract Details

Approval Date

11/22/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Mary Elizabeth Marr, CEO
(256) 337-8283

Contract Pharmacy Representative

AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587

Signed By Date

11/22/2019

340B Drug Pricing Program Database