340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
RWI89102 Horizon Ridge Clinic LLC
Print
Covered Entity Details
Entity Name
Horizon Ridge Clinic LLC
Subdivision Name
Type
Ryan White Part A
340B ID
RWI89102
Entity Address
1670 E Flamingo Road
Suite A
Las Vegas, NV 89119
Grant Number
H89HA06900
Participating Start Date
7/1/2018
Last Recertification Date
2/2/2022
Entity Termination Date
1/1/2023
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
10/12/2021
Contract Begin Date
10/15/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Bruce Eddins, Chief Administrator
(702) 489-2889 Ext: 102
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/12/2021
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