340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD334611 Best Choice Medi Clinic
Print
Covered Entity Details
Entity Name
Best Choice Medi Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD334611
Entity Address
1195 n. Military Trail, Suite 5 B
West Palm Beach, FL 33409
Grant Number
5NU62PS92453202
Participating Start Date
7/1/2021
Last Recertification Date
5/7/2025
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
12/7/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alisha Kuttiyani, CEO
(305) 450-7518
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587
Signed By Date
12/7/2021
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