340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
FQHCLA435A LIFE COAST COMMUNITY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
LIFE COAST COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Life Coast Community Health Center Thibodaux
Type
Health Center Program Look-Alike
340B ID
FQHCLA435A
Entity Address
1101 Audubon Ave Ste S1
Thibodaux, LA 70301-4957
Grant Number
LALCS47057
Participating Start Date
10/1/2022
Last Recertification Date
2/10/2025
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
9/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Duet, CEO
(985) 492-6170
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
9/9/2022
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