340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD01830 HealthQuarters d/b/a HealthQ
Print
Covered Entity Details
Entity Name
HealthQuarters d/b/a HealthQ
Subdivision Name
Haverhill Site
Type
Sexually Transmitted Diseases
340B ID
STD01830
Entity Address
215 Summer Street
Suite 16
Haverhill, MA 01830
Grant Number
NH25PS005167
Participating Start Date
4/1/2017
Last Recertification Date
6/2/2025
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
12/18/2020
Contract Begin Date
12/30/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gabrielle Ross, Executive Director
(978) 489-4993
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
12/18/2020
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