340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD33181 Advanced Care Services, Inc
Print
Covered Entity Details
Entity Name
Advanced Care Services, Inc
Subdivision Name
J&C Healthcare Center
Type
Sexually Transmitted Diseases
340B ID
STD33181
Entity Address
1620 NE 148t Street
North Miami, FL 33181
Grant Number
5NU62PS92453202
Participating Start Date
1/1/2022
Last Recertification Date
5/26/2025
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
11/29/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jose Ramon Rodriguez-Diaz, 340B Administrator
(939) 545-0522
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587
Signed By Date
11/29/2021
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