340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF CHARLESTON
STD294071 Roper St. Francis Healthcare
Print
Covered Entity Details
Entity Name
Roper St. Francis Healthcare
Subdivision Name
Roper St. Francis Health Services Center
Type
Sexually Transmitted Diseases
340B ID
STD294071
Entity Address
1481 Tobias Gadson Blvd, Suite 1
Charleston, SC 29407
Grant Number
NU62PS924531-03-00
Participating Start Date
10/1/2022
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
LONGS DRUGS OF CHARLESTON
Pharmacy Address
DBA AVITA PHARMACY 1052
1481 TOBIAS GADSON BLVD STE 2D
CHARLESTON, SC 29407
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
10/11/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tawana Faye Philpott Brown, Program Director
(843) 402-1981
Contract Pharmacy Representative
Avita Pharmacy
Keith Fox, Sr. Vice President
(225) 236-1540
Signed By Date
10/7/2022
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