340B Drug Pricing Program Database

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LONGS DRUGS OF LEXINGTON
HV12908 NO/AIDS TASK FORCE

Covered Entity Details

CrescentCare - St. Roch
Ryan White Part C
HV12908
1631 ELYSIAN FIELDS AVE
NEW ORLEANS, LA 70117
H76HA12908
1/1/2013
3/7/2025


Pharmacy Details

D/B/A AVITA PHARMACY 1051
1216 W MAIN ST
STE D
LEXINGTON, SC 29072-2453

Contract Details

2/19/2021
2/22/2021


Contacts


NOEL John TWILBECK, CEO
(504) 821-2601 Ext: 1000



AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
2/19/2021